5 Medical
Organization Active NPI Durable Medical Equipment & Medical Supplies · Fresno, CA
NPI 1184862278 · NPPES record last updated May 12, 2010
Key facts
- NPI
- 1184862278
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- 5 MEDICAL
- Practice address
- 4656 E Dakota Ave
Suite 103
Fresno, CA 93726-4727 - Phone
- (559) 353-2954
- Fax
- (559) 353-2955
- NPI assigned
- Jan 27, 2009
- Organization subpart
- No
Authorized official
- Name
- Maria Dolores Butler
- Title
- President
- Phone
- (559) 353-2954
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| 5 Medical |
Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930074362 | CA | DME Supplier - Medical Supply Company With Orthotic Personnel |
0143410472 | Practice locations: Fresno, CA |
National Provider Directory
Locations
4656 E Dakota Ave
Ste 103
Fresno, CA 93726
Phone (559) 353-2954
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
4656 E Dakota Ave
Suite 103
Fresno, CA 93726-4727
Mailing address
4656 E Dakota Ave
Suite 103
Fresno, CA 93726-4727
Phone (559) 353-2954
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | PENDING | |
| 0 | Other | CA | PENDING MEDI-CAL |
Other providers in Fresno, CA
- 3 Musketeers Medical Group, a Medical Corporation
- 365 Medical Transport
- 4C Children and Family Services Inc
- 4Evercare LLC
- 4Kids Urgent Care Medical Center, Inc
- 5 Star Retirement Group, Corp
- 7173 North Sharon Avenue Operating Company, LLC
- 9163 LLC
- A & S Innovations LLC Dovewood Recovery Haven
- A & T Mobility, Inc
All providers in Fresno, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.