Pelv-Ice LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PELV-ICE LLC

Practice address

1118 Mission St
South Pasadena, CA 91030-3212

Phone

(310) 961-3626

NPI assigned

Oct 22, 2015

Organization subpart

Yes

Parent organization

PELV-ICE LLCAs reported in NPPES

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

Authorized official

Name

Ms. Jill Bigelow

Title

Founder/Ceo

Phone

(310) 927-3053

Specialties & licenses 1

Addresses

Part of

Pelv-Ice LLC

Locations

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194197780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 MISSION ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303212",
            "telephone_number": "310-961-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MISSION ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303212",
            "telephone_number": "310-961-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELV-ICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PELV-ICE LLC",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "310-927-3053",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Lynn Pattee
• Alexis Paul, PSYD
• Demetri Pearson
• Jonathan Ivan Pedroza
• Dorcas Elizabet Pelico
• Michael Penafiel
• Connor Pendleton
• Penny Pengra, LMFT
• Michelle Christine Perdomo, MA
• Brittany Alliemae Perez, MA, LPCC

• Durable Medical Equipment & Medical Supplies in South Pasadena, CA
• Providers in South Pasadena, 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 Jul 21, 2022; 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.