Organization Active NPI

Medi-Stop Home Medical Supplier

  • Durable Medical Equipment & Medical Supplies
  • Bakersfield, CA
National Provider Identifier
1205923679
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDI-STOP HOME MEDICAL SUPPLIER
Practice address
815 34TH St
Bakersfield, CA 93301-2211
Phone
(661) 328-9920
Fax
(661) 328-0375
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Mr. Manuel G Hernandez
Title
General Manager
Phone
(661) 328-9920

Specialties & licenses 1

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

Addresses

Primary practice location

815 34TH St
Bakersfield, CA 93301-2211

Mailing address

PO Box 40547
Bakersfield, CA 93384-0547
Phone (661) 328-9920

Other identifiers 1

IdentifierTypeStateIssuer
9674128MedicaidCA

National Provider Directory

National Provider Directory

Locations

815 34th St
Bakersfield, CA 93301
Phone (661) 328-9920

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1205923679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40547",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933840547",
            "telephone_number": "661-328-9920",
            "fax_number": "661-328-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012211",
            "telephone_number": "661-328-9920",
            "fax_number": "661-328-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-STOP HOME MEDICAL SUPPLIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "661-328-9920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9674128",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.