NPIMap

Organization Active NPI

South Coast DME

  • Durable Medical Equipment & Medical Supplies
  • Huntington Beach, CA
National Provider Identifier
1184985673
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
A274709 Issued in CA
Legal business name
SOUTH COAST DME
Practice address
19744 Beach Blvd
Suite 304
Huntington Beach, CA 92648-2988
Phone
(888) 715-9990
Fax
(888) 837-9990
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Mr. Barry Moquin
Title
President
Phone
(714) 396-7807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X A274709 CA Primary

Addresses

Primary practice location

19744 Beach Blvd
Suite 304
Huntington Beach, CA 92648-2988

Mailing address

19744 Beach Blvd
Suite 304
Huntington Beach, CA 92648-2988
Phone (888) 715-9990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1184985673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19744 BEACH BLVD",
            "address_2": "SUITE 304",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482988",
            "telephone_number": "888-715-9990",
            "fax_number": "888-837-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19744 BEACH BLVD",
            "address_2": "SUITE 304",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482988",
            "telephone_number": "888-715-9990",
            "fax_number": "888-837-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "MOQUIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-396-7807",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "A274709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.