Organization Active NPI

Abacus Medical Equipment Supply, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Fair Oaks, CA
National Provider Identifier
1194809871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
315938 Issued in CA
Legal business name
ABACUS MEDICAL EQUIPMENT SUPPLY, INC.
Practice address
8510 Madison Ave
Suite D
Fair Oaks, CA 95628-3809
Phone
(916) 965-4352
Fax
(916) 965-5723
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patty J Smith
Title
Chief Executive Officer
Phone
(916) 965-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 315938 CA Primary

Addresses

Primary practice location

8510 Madison Ave
Suite D
Fair Oaks, CA 95628-3809

Mailing address

8510 Madison Ave
Suite D
Fair Oaks, CA 95628-3809
Phone (916) 965-4352

Other identifiers 1

IdentifierTypeStateIssuer
DME02906FMedicaidCA

Other names 1

  • Abacus Medical Equipment Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194809871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 MADISON AVE",
            "address_2": "SUITE D",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283809",
            "telephone_number": "916-965-4352",
            "fax_number": "916-965-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 MADISON AVE",
            "address_2": "SUITE D",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283809",
            "telephone_number": "916-965-4352",
            "fax_number": "916-965-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABACUS MEDICAL EQUIPMENT SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-965-4352",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "315938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02906F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abacus Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.