Edward Eugene Berreth, CRTT
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Delano, CA
NPI 1295878601 · NPPES record last updated Jul 25, 2008
Key facts
- NPI
- 1295878601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 100506 (CA)
- Practice address
- 909 12TH Ave
Delano, CA 93215-2255 - Phone
- (661) 725-7438
- Fax
- (661) 725-5868
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100506 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 100506 | CA | Yes |
Addresses
Primary practice location
909 12TH Ave
Delano, CA 93215-2255
Mailing address
PO Box 645
Delano, CA 93216-0645
Phone (661) 725-7438
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME00042F | Medicaid | CA |
Other providers in Delano, CA
- Amy Suzanne Bauman
- Kourtney Beach
- Lindsey Bega
- Araceli Bejar Lua
- Ricardo Bernardino
- Navdeep Bhullar
- Blood on Wheels
- Michelle Juanatas Bowens
- Kimberly Ann Boyd-Bowman
- Braden Partners LP
All providers in Delano, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.