South Bay Express Nursing , Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTH BAY EXPRESS NURSING , INC.

Practice address

809 N Avalon Blvd Ste B
Wilmington, CA 90744-4501

Phone

(310) 518-3300

Fax

(310) 518-3404

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Manuel David Madrigal

Title

Executive Director

Phone

(310) 518-3300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1205012952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N AVALON BLVD STE B",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444501",
            "telephone_number": "310-518-3300",
            "fax_number": "310-518-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N AVALON BLVD STE B",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444501",
            "telephone_number": "310-518-3300",
            "fax_number": "310-518-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY EXPRESS NURSING , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-518-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Sison, PTA
• Marilyn Denise Smith, LVN
• Rachel Irene Smith, LVN
• Brandon Rene Solares
• South Bay Center for Counseling
• South Bay Medical Supply
• South Bay Sunset Pavilion
• King Anthony Sparks, PHLEBOTOMY TECHNICIA
• Starship Medical Corporation
• Starship Medical Corporation

• Home Health Agency in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.