Tesla Supply Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TESLA SUPPLY COMPANY

Practice address

15923 Bear Valley Rd
D 270
Hesperia, CA 92345

Phone

(866) 238-3206

Fax

(866) 232-3835

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Josephine Villa

Title

Manager/Owner

Phone

(760) 927-1704

Specialties & licenses 1

Addresses

Other names 1

• Tesla Medical Supply Company Former legal business name

Locations

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194956821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15923 BEAR VALLEY RD",
            "address_2": "D-270",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "82345",
            "telephone_number": "760-948-7108",
            "fax_number": "866-238-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15923 BEAR VALLEY RD",
            "address_2": "D 270",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "92345",
            "telephone_number": "866-238-3206",
            "fax_number": "866-232-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESLA SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "760-927-1704"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tesla Medical Supply Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Hesperia, CA
• Providers in Hesperia, 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.