Organization Active NPI

Central Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Santa Clara, CA
National Provider Identifier
1366590689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5174260001 Issued in CA
Legal business name
CENTRAL MEDICAL SUPPLY, INC
Practice address
2344 El Camino Real
110
Santa Clara, CA 95050-4072
Phone
(408) 260-8884
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hun Byoung An
Title
President
Phone
(408) 260-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5174260001 CA Primary

Addresses

Primary practice location

2344 El Camino Real
110
Santa Clara, CA 95050-4072

Mailing address

2344 El Camino Real
110
Santa Clara, CA 95050-4072
Phone (408) 260-8884

National Provider Directory

National Provider Directory

Locations

2344 El Camino Real
Ste 110
Santa Clara, CA 95050
Phone (408) 260-8884

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366590689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 EL CAMINO REAL",
            "address_2": "110",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504072",
            "telephone_number": "408-260-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 EL CAMINO REAL",
            "address_2": "110",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504072",
            "telephone_number": "408-260-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "HUN",
        "authorized_official_middle_name": "BYOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-260-8884"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5174260001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.