Metro-Med, Inc. - Los Alamitos

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100347 Issued in CA

Legal business name

METRO-MED, INC. - LOS ALAMITOS

Practice address

10841 Noel St
Ste. 108, 103
Los Alamitos, CA 90720-2597

Phone

(714) 761-9761

Fax

(714) 761-8455

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Yaeger

Title

President

Phone

(818) 840-9090

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1194822320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8999 GEMINI PKWY STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402250",
            "telephone_number": "614-573-9075",
            "fax_number": "614-568-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 NOEL ST",
            "address_2": "STE. 108, 103",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202597",
            "telephone_number": "714-761-9761",
            "fax_number": "714-761-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO-MED, INC. - LOS ALAMITOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "YAEGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-840-9090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100347",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "100347",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03175F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ133182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Los Alamitos, CA
• Providers in Los Alamitos, 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 Sep 15, 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.