San Joaquin Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAN JOAQUIN MEDICAL SUPPLY INC

Practice address

10810 Avenue 184
Tulare, CA 93274-9514

Phone

(559) 334-8790

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Manuel Diago

Title

President

Phone

(559) 334-8790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1346787108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 AVENUE 184",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749514",
            "telephone_number": "559-334-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 AVENUE 184",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749514",
            "telephone_number": "559-334-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "DIAGO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-334-8790"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Angel Salcedo
• Greg Salcedo
• Isabel Angel Salcedo
• Karen Saldana
• Bianca A Salgado-Rocha
• Yesenia Sanchez Mora
• Alejandra Sanchez, PPS SCHOOL COUNSELOR
• Ashlee Sanchez
• Elizabeth Marie Sanchez, FNP-C
• Melinda Roxanne Sanchez

• Durable Medical Equipment & Medical Supplies in Tulare, CA
• Providers in Tulare, 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 Jan 31, 2017; 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.