F.I.T.T. Medical

Key facts

NPI

1154462984

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

F.I.T.T. MEDICAL

Practice address

821 Pine St
Suite B
Paso Robles, CA 93446-2862

Phone

(805) 239-4049

Fax

(805) 226-2263

NPI assigned

Feb 12, 2007

Organization subpart

No

Authorized official

Name

Mr. Timmothy Gough

Title

Partner

Phone

(805) 239-4049

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154462984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PINE ST",
            "address_2": "SUITE B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462862",
            "telephone_number": "805-239-4049",
            "fax_number": "805-226-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PINE ST",
            "address_2": "SUITE B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462862",
            "telephone_number": "805-239-4049",
            "fax_number": "805-226-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.I.T.T. MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "TIMMOTHY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-239-4049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE HEALTH",
            "identifier": "145749",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5687237",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Paso Robles, CA · Durable Medical Equipment & Medical Supplies in California