Organization Active NPI

Master Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Santa Barbara, CA
National Provider Identifier
1285718122
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
132864 Issued in CA
Legal business name
MASTER MEDICAL SUPPLY INC
Practice address
910 E Haley St
Santa Barbara, CA 93103
Phone
(805) 564-8080
Fax
(805) 564-8084
NPI assigned
Oct 25, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Raul Anon
Title
Owner Ceo
Phone
(805) 564-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 132864 CA Primary

Addresses

Primary practice location

910 E Haley St
Santa Barbara, CA 93103

Mailing address

PO Box 41559
Santa Barbara, CA 93140
Phone (805) 564-8080

Other identifiers 1

IdentifierTypeStateIssuer
DME01467GMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1285718122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41559",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93140",
            "telephone_number": "805-564-8080",
            "fax_number": "805-564-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E HALEY ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93103",
            "telephone_number": "805-564-8080",
            "fax_number": "805-564-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "ANON",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER  CEO",
        "authorized_official_telephone_number": "805-564-8080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "132864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01467G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.