Juan C Cifuentes

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

10938 Vanowen St
North Hollywood, CA 91605-6407

Phone

(818) 760-2461

Fax

(818) 760-1105

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1265463905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10938 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056407",
            "telephone_number": "818-760-2461",
            "fax_number": "818-760-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10938 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056407",
            "telephone_number": "818-760-2461",
            "fax_number": "818-760-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "JUAN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891872594",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.