JP Medical Solutions, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JP MEDICAL SOLUTIONS, LLC

Practice address

2360 Mendocino Ave
A2-205
Santa Rosa, CA 95403-3153

Phone

(707) 202-4542

Fax

(707) 237-2531

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jaime Penaherrera, MBA, MA

Title

Director of Sales & Marketing

Phone

(707) 202-4542

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1316126030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MENDOCINO AVE",
            "address_2": "A2-205",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033153",
            "telephone_number": "707-202-4542",
            "fax_number": "707-237-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MENDOCINO AVE",
            "address_2": "A2-205",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033153",
            "telephone_number": "707-202-4542",
            "fax_number": "707-237-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP MEDICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "PENAHERRERA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DIRECTOR OF SALES & MARKETING",
        "authorized_official_telephone_number": "707-202-4542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.