Organization Active NPI

King Medical Management

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
National Provider Identifier
1205117231
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KING MEDICAL MANAGEMENT
Practice address
540 N Golden Circle Dr
Suite 202
Santa Ana, CA 92705-3914
Phone
(714) 542-2153
Fax
(714) 464-4442
NPI assigned
Sep 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Authorized official

Name
Tanya Moreland
Title
Owner
Phone
(714) 542-2153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

540 N Golden Circle Dr
Suite 202
Santa Ana, CA 92705-3914

Mailing address

PO Box 6958
Beverly Hills, CA 90212-6958
Phone (714) 542-2153

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1205117231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6958",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902126958",
            "telephone_number": "714-542-2153",
            "fax_number": "714-464-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N GOLDEN CIRCLE DR",
            "address_2": "SUITE 202",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053914",
            "telephone_number": "714-542-2153",
            "fax_number": "714-464-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-542-2153"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.