Rancho Bernardo Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RANCHO BERNARDO MEDICAL SUPPLY INC

Practice address

16766 Bernardo Center Dr Ste 104
San Diego, CA 92128-2501

Phone

(858) 943-4812

Fax

(858) 924-8489

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Zaina Dadah

Title

President

Phone

(949) 331-6003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1225509912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282501",
            "telephone_number": "858-924-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282501",
            "telephone_number": "858-943-4812",
            "fax_number": "858-924-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO BERNARDO MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "DADAH",
        "authorized_official_first_name": "ZAINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-331-6003"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rancho Bernardo Advanced Imaging
• Rancho Bernardo Day Program Inc
• Rancho Bernardo Healthcare LLC
• Rancho Bernardo Healthcare LLC
• Rancho Bernardo Hearing Services, Inc.
• Rancho Digius LLC
• Rancho Family Medical Group, Inc.
• Rancho L'Abri Health Group, LLC
• Rancho Neurology and Sleep Medicine Inc
• Rand G Shuttle Service LLC

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.