Active NPI
Mark Hicks
- Oxygen Equipment & Supplies (DME)
- Brea, CA
National Provider Identifier
1295836757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 10079550
- Legal business name
- MARK HICKS
- Practice address
- 1280 W Lambert Rd
Suite B
Brea, CA 92821-2820 - Phone
- (562) 691-7161
- Fax
- (562) 691-7162
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark P Hicks, BS RRT RCP
- Title
- President
- Phone
- (562) 691-7161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 10079550 | CA | Primary |
Addresses
Primary practice location
1280 W Lambert Rd
Suite B
Brea, CA 92821-2820
Mailing address
1280 W Lambert Rd
Suite B
Brea, CA 92821-2820
Phone (562) 691-7161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME01723G | Medicaid | CA |
Other names 1
- Naptime Homecare
National Provider Directory
National Provider DirectoryLocations
1280 W Lambert Rd
Ste B
Brea, CA 92821
Phone (562) 691-7161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316476800000",
"number": "1295836757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 W LAMBERT RD",
"address_2": "SUITE B",
"city": "BREA",
"state": "CA",
"postal_code": "928212820",
"telephone_number": "562-691-7161",
"fax_number": "562-691-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 W LAMBERT RD",
"address_2": "SUITE B",
"city": "BREA",
"state": "CA",
"postal_code": "928212820",
"telephone_number": "562-691-7161",
"fax_number": "562-691-7162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK HICKS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2011-09-20",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-691-7161",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS RRT RCP"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "10079550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME01723G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Naptime Homecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.