Organization Active NPI

Radtec Medical Devices, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Carlos, CA
National Provider Identifier
1235629965
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RADTEC MEDICAL DEVICES, INC.
Practice address
170 Glenn Way Ste 5
San Carlos, CA 94070-6266
Phone
(844) 723-8321
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Ross Holman
Title
Ceo
Phone
(650) 208-2062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

170 Glenn Way Ste 5
San Carlos, CA 94070-6266

Mailing address

170 Glenn Way Ste 5
San Carlos, CA 94070-6266

National Provider Directory

National Provider Directory

Locations

170 Glenn Way
Ste 5
San Carlos, CA 94070
Phone (844) 723-8321

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1235629965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 GLENN WAY STE 5",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GLENN WAY STE 5",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706266",
            "telephone_number": "844-723-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADTEC MEDICAL DEVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-208-2062"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.