Ultracare Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ULTRACARE MEDICAL SUPPLY

Practice address

431 Trotter Dr
Vallejo, CA 94591-8512

Phone

(707) 655-3225

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Nixon Padilla

Title

Owner

Phone

(707) 655-3225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1235566944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 TROTTER DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918512",
            "telephone_number": "707-655-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 TROTTER DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918512",
            "telephone_number": "707-655-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRACARE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "NIXON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-655-3225"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.