Active NPI
Serve All Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Antioch, CA
National Provider Identifier
1346526902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SERVE ALL MEDICAL SUPPLIES
- Practice address
- 4101 Amargosa Dr
Antioch, CA 94531-8243 - Phone
- (510) 302-9044
- Fax
- (209) 839-0731
- NPI assigned
- Oct 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela Samuels
- Title
- Owner
- Phone
- (510) 302-9044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4101 Amargosa Dr
Antioch, CA 94531-8243
Mailing address
4101 Amargosa Dr
Antioch, CA 94531-8243
Phone (510) 302-9044
National Provider Directory
National Provider Directory- Tax ID family
- Serv-All
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility Supplies (DME)
- Antioch, CA
- NPI 1871852707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1346526902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 AMARGOSA DR",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318243",
"telephone_number": "510-302-9044",
"fax_number": "209-839-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 AMARGOSA DR",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318243",
"telephone_number": "510-302-9044",
"fax_number": "209-839-0731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVE ALL MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A",
"authorized_official_last_name": "SAMUELS",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-302-9044",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.