Organization Active NPI

San Pablo Commercial Corp.

  • Durable Medical Equipment & Medical Supplies
  • Simi Valley, CA
National Provider Identifier
1316164072
Registry record updated Apr 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAN PABLO COMMERCIAL CORP.
Practice address
45 W Easy St
Suite 25
Simi Valley, CA 93065-1608
Phone
(805) 583-8883
Fax
(805) 583-8881
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2009

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

Authorized official

Name
Mr. Raymond S Ador Dionisio
Title
President
Phone
(805) 583-8883

Specialties & licenses 1

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

Addresses

Primary practice location

45 W Easy St
Suite 25
Simi Valley, CA 93065-1608

Mailing address

45 W Easy St
Suite 25
Simi Valley, CA 93065-1608
Phone (805) 583-8883

National Provider Directory

National Provider Directory

Locations

45 W Easy St
Ste 25
Simi Valley, CA 93065
Phone (805) 583-8883

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240012800000",
    "number": "1316164072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W EASY ST",
            "address_2": "SUITE 25",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651608",
            "telephone_number": "805-583-8883",
            "fax_number": "805-583-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W EASY ST",
            "address_2": "SUITE 25",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651608",
            "telephone_number": "805-583-8883",
            "fax_number": "805-583-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PABLO COMMERCIAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-04-18",
        "status": "A",
        "authorized_official_last_name": "ADOR DIONISIO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-583-8883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2009; 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.