Organization Active NPI

CT Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Alamitos, CA
National Provider Identifier
1205929858
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
54666 Issued in CA
Legal business name
CT MEDICAL, INC
Practice address
3898 Cerritos Ave
Los Alamitos, CA 90720-2420
Phone
(714) 826-7890
Fax
(714) 826-7839
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Harold Clifton Ross, RPH
Title
Owner
Phone
(714) 826-7890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 54666 CA Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 54666 CA

Addresses

Primary practice location

3898 Cerritos Ave
Los Alamitos, CA 90720-2420

Mailing address

3898 Cerritos Ave
Los Alamitos, CA 90720-2420
Phone (714) 826-7890

Other identifiers 1

IdentifierTypeStateIssuer
DME0954FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1205929858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 CERRITOS AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202420",
            "telephone_number": "714-826-7890",
            "fax_number": "714-826-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 CERRITOS AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202420",
            "telephone_number": "714-826-7890",
            "fax_number": "714-826-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-826-7890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "54666",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "54666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME0954F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.