Active NPI
California Healthcare Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Riverside, CA
National Provider Identifier
1225069321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 47523
- Legal business name
- CALIFORNIA HEALTHCARE MEDICAL SUPPLY, INC.
- Practice address
- 12702 Magnolia Ave Ste 18
Riverside, CA 92503-4622 - Phone
- (951) 340-2422
- Fax
- (951) 340-2622
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George Nze
- Title
- Executive Director
- Phone
- (951) 833-8426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 47523 | CA | Primary |
Addresses
Primary practice location
12702 Magnolia Ave Ste 18
Riverside, CA 92503-4622
Mailing address
12702 Magnolia Ave Ste 18
Riverside, CA 92503-4622
Phone (951) 340-2422
Other names 1
- CA HLTHC MED
National Provider Directory
National Provider DirectoryLocations
12702 Magnolia Ave
Ste 18
Riverside, CA 92503
Phone (951) 340-2422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210204800000",
"number": "1225069321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12702 MAGNOLIA AVE STE 18",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034622",
"telephone_number": "951-340-2422",
"fax_number": "951-340-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12702 MAGNOLIA AVE STE 18",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034622",
"telephone_number": "951-340-2422",
"fax_number": "951-340-2622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA HEALTHCARE MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2008-05-08",
"status": "A",
"authorized_official_last_name": "NZE",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "951-833-8426",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "47523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CA HLTHC MED",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.