Organization Active NPI

Informed Sources, Inc.

Doing business as NorCal Glide

  • Durable Medical Equipment & Medical Supplies
  • San Francisco, CA
National Provider Identifier
1205232790
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INFORMED SOURCES, INC.
Doing business as
NorCal Glide
Practice address
1534 Green St
San Francisco, CA 94123-5102
Phone
(415) 474-7173
Fax
(415) 775-4122
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Ms. Cynthia D Butler
Title
Ceo
Phone
(415) 474-7173

Specialties & licenses 1

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

Addresses

Primary practice location

1534 Green St
San Francisco, CA 94123-5102

Mailing address

1534 Green St
San Francisco, CA 94123-5102
Phone (415) 474-7173

Other names 1

  • NorCal Glide 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": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1205232790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 GREEN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941235102",
            "telephone_number": "415-474-7173",
            "fax_number": "415-775-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 GREEN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941235102",
            "telephone_number": "415-474-7173",
            "fax_number": "415-775-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORMED SOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-474-7173",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorCal Glide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.