Gavin Herbert Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GAVIN HERBERT CO.

Doing business as

Horton & Converse Home Medical

Practice address

11600 Wilshire Blvd.
Los Angeles, CA 90025-1773

Phone

(310) 479-0960

Fax

(310) 477-3509

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith Robert Lumpkin

Title

President

Phone

(949) 640-1231

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Horton & Converse Home Medical Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1265502348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9889",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926581889",
            "telephone_number": "949-640-1231",
            "fax_number": "949-640-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251773",
            "telephone_number": "310-479-0960",
            "fax_number": "310-477-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN HERBERT CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-640-1231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995613",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA165950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horton & Converse Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Freddy A. Gavarrete, BCBA
• Cecilia Ann Gavazzi
• Gavi Medical Supply Inc
• Noe Alfredo Gavidia
• Melissa Gabrielle Gavilanes, PSY.D.
• Gavin Herbert Company (Horton and Converse Pharmacy)
• Gavin Herbert Company (Horton and Converse Pharmacy)
• Bryna Gavin, MS, CNS
• Michelle Gavin, D.O.
• Paul Gavini, RRT

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 22, 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.