Organization Active NPI

California Healthcare Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Riverside, CA
National Provider Identifier
1225069321
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
47523 Issued in CA
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

Updated by the provider on May 8, 2008

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Riverside, CA

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.

Verify at the official NPI Registry.