Organization Active NPI

Shakti Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Redondo Beach, CA
National Provider Identifier
1265613012
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHAKTI MEDICAL, INC.
Practice address
2455 190TH St
Redondo Beach, CA 90278-5334
Phone
(310) 372-4200
Fax
(310) 219-0723
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. Phillip Sokolsky Jr.
Title
President
Phone
(310) 372-4200

Specialties & licenses 1

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

Addresses

Primary practice location

2455 190TH St
Redondo Beach, CA 90278-5334

Mailing address

2455 190TH St
Redondo Beach, CA 90278-5334
Phone (310) 372-4200

National Provider Directory

National Provider Directory

Locations

2455 190th St
Redondo Beach, CA 90278
Phone (310) 372-4200

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1265613012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 190TH ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785334",
            "telephone_number": "310-372-4200",
            "fax_number": "310-219-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 190TH ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785334",
            "telephone_number": "310-372-4200",
            "fax_number": "310-219-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKTI MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "SOKOLSKY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-372-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.