Advanced Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

A113019 Issued in CA

Legal business name

ADVANCED MEDICAL SUPPLY

Practice address

1350 O St Ste 301
Fresno, CA 93721-1828

Phone

(559) 289-1016

Fax

(559) 289-1016

NPI assigned

Aug 7, 2013

Last updated

Aug 7, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH FRESNO PRIMARY CARE INCAs reported in NPPES

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

Authorized official

Name

Mr. Ronnie Lewis

Title

Owner/Ceo

Phone

(559) 289-1016

Specialties & licenses 1

Addresses

Part of

Advanced Medical Supply

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• North Fresno Primary Care Inc

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1245527357
  NPPES parent name

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1164854527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828",
            "telephone_number": "559-289-1016",
            "fax_number": "559-289-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828",
            "telephone_number": "559-289-1016",
            "fax_number": "559-289-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH FRESNO PRIMARY CARE INC",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "559-289-1016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "A113019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Care Management, Inc. (Community Outpatient Surgery Center)
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• Advanced Family Pharmacy Inc (Advanced Family Pharmacy)
• Advanced Laparoscopic Surgery Associates Medical Group Inc
• Advanced Medical Imaging
• Advanced Pain Associates of California
• Advanced Physical and Occupational Therapy
• Advanced Radiation Oncology Services, Medical Corporation
• Advanced Retina Care
• Advanced Specialty Care

• Durable Medical Equipment & Medical Supplies in Fresno, CA
• Providers in Fresno, 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 Aug 7, 2013; 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.