NPIMap

Organization Active NPI

Doc's Medical Mart

Doing business as Bischoff's Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CA
National Provider Identifier
1356485361
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DOC'S MEDICAL MART
Doing business as
Bischoff's Medical Supplies
Practice address
4670 Central Way Ste B
Fairfield, CA 94534-1806
Phone
(707) 864-6680
Fax
(707) 864-1140
NPI assigned
Feb 16, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jocelyn Bischoff
Title
Owner
Phone
(831) 338-6552

Specialties & licenses 1

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

Addresses

Primary practice location

4670 Central Way Ste B
Fairfield, CA 94534-1806

Mailing address

19100 Big Basin Way
Boulder Creek, CA 95006-8570
Phone (831) 338-6552

Other names 1

  • Bischoff's Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bischoff's Medical Supplies5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4670 Central Way
Ste B
Fairfield, CA 94534
Phone (707) 864-6680

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356485361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 BIG BASIN WAY",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950068570",
            "telephone_number": "831-338-6552",
            "fax_number": "831-338-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 CENTRAL WAY STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341806",
            "telephone_number": "707-864-6680",
            "fax_number": "707-864-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC'S MEDICAL MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BISCHOFF",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-338-6552"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bischoff's Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.