Organization Active NPI

Site Group, LLC

Doing business as Site For Sore Eyes

  • Eyewear Supplier
  • Eureka, CA
National Provider Identifier
1316338056
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SITE GROUP, LLC
Doing business as
Site For Sore Eyes
Practice address
1209 Broadway
Eureka, CA 95501-0129
Phone
(707) 442-2922
Fax
(707) 442-7206
NPI assigned
Feb 17, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Kevin Cambra, RSLDNPI 1437606522
Title
President
Phone
(510) 301-8317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1209 Broadway
Eureka, CA 95501-0129

Mailing address

1833 Fillmore St
Suite 100
San Francisco, CA 94115-3180
Phone (510) 301-8317

Other names 1

  • Site For Sore Eyes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Site Group LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1316338056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 FILLMORE ST",
            "address_2": "SUITE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153180",
            "telephone_number": "510-301-8317",
            "fax_number": "510-225-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 BROADWAY",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010129",
            "telephone_number": "707-442-2922",
            "fax_number": "707-442-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "CAMBRA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-301-8317",
        "authorized_official_credential": "RSLD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Site For Sore Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.