Organization Active NPI

Mark Hicks

  • Oxygen Equipment & Supplies (DME)
  • Brea, CA
National Provider Identifier
1295836757
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
10079550 Issued in CA
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

Updated by the provider on Sep 20, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME01723GMedicaidCA

Other names 1

  • Naptime Homecare Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.