Sanctum Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SANCTUM MEDICAL EQUIPMENT LLC

Practice address

16766 Bernardo Center Dr Ste 104
San Diego, CA 92128-2501

Phone

(858) 943-4812

Fax

(858) 924-8489

NPI assigned

May 10, 2019

Organization subpart

No

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

Authorized official

Name

Zaina Mihsin Dadah

Title

President

Phone

(858) 943-4812

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1184280604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11956 BERNARDO PLAZA DR # 131",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282538",
            "telephone_number": "858-943-4813",
            "fax_number": "858-924-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282501",
            "telephone_number": "858-943-4812",
            "fax_number": "858-924-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUM MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "DADAH",
        "authorized_official_first_name": "ZAINA",
        "authorized_official_middle_name": "MIHSIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-943-4812"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in San Diego, 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 May 15, 2019; 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.