NPIMap

Organization Active NPI

Minimed Distribution Corp.

  • Case Manager/Care Coordinator
  • Northridge, CA
National Provider Identifier
1336615178
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MINIMED DISTRIBUTION CORP.
Practice address
18000 Devonshire St
Northridge, CA 91325-1219
Phone
(800) 646-4633
Fax
(818) 739-4414
NPI assigned
Oct 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Angela Ward
Title
Principal Business Operations Spec
Phone
(804) 550-2017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

18000 Devonshire St
Northridge, CA 91325-1219

Mailing address

18000 Devonshire St
Northridge, CA 91325-1219
Phone (800) 646-4633

National Provider Directory

National Provider Directory
Tax ID family
Minimed Distribution Corp18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1336615178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251219",
            "telephone_number": "800-646-4633",
            "fax_number": "818-739-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251219",
            "telephone_number": "800-646-4633",
            "fax_number": "818-739-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMED DISTRIBUTION CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRINCIPAL BUSINESS OPERATIONS SPEC",
        "authorized_official_telephone_number": "804-550-2017"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.