East Bay Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

48468 Issued in CA

Legal business name

EAST BAY MEDICAL SUPPLY

Practice address

5421 Lone Tree Way Ste 150
Brentwood, CA 94513-5380

Phone

(925) 783-4059

Fax

(800) 886-8651

NPI assigned

Mar 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Antonio Ablay Saucelo, REGISTERED NURSE

Title

Owner

Phone

(925) 783-4059

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1164694238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 LONE TREE WAY STE 150",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135380",
            "telephone_number": "925-783-4059",
            "fax_number": "800-886-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 LONE TREE WAY STE 150",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135380",
            "telephone_number": "925-783-4059",
            "fax_number": "800-886-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-29",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "SAUCELO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "ABLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-783-4059",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "48468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Druyor, MFT
• Sasha Alyssa Duenas
• Alexandra I Duque Silva, M.D.
• Destiny Duran, MA
• Linda Cristal Nungaray Duran
• East Bay Pain Clinic Inc
• East Bay Pain Management Center, Inc
• East Contra Costa Fire Protection District
• Mercy Amarachi Echendu
• Gianni Cynai Edwards

• Durable Medical Equipment & Medical Supplies in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.