Active NPI
NTS DME
- Durable Medical Equipment & Medical Supplies
- Costa Mesa, CA
National Provider Identifier
1366713174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 56571
- Legal business name
- NTS DME
- Practice address
- 2506 Back Bay Loop
Costa Mesa, CA 92627-5413 - Phone
- (800) 992-7846
- Fax
- (888) 992-7846
- NPI assigned
- Jan 25, 2012
- 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
- Thomas Newton Newman
- Title
- President
- Phone
- (949) 500-7622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 56571 | CA | Primary |
Addresses
Primary practice location
2506 Back Bay Loop
Costa Mesa, CA 92627-5413
Mailing address
2506 Back Bay Loop
Costa Mesa, CA 92627-5413
Phone (800) 992-7846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22426 | Other | CA | RETAIL EXEMPTEE LICENSE |
Other names 1
- SOUTH COAST MEDICAL
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327449600000",
"number": "1366713174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 BACK BAY LOOP",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926275413",
"telephone_number": "800-992-7846",
"fax_number": "888-479-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 BACK BAY LOOP",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926275413",
"telephone_number": "800-992-7846",
"fax_number": "888-992-7846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NTS DME",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "NEWTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-500-7622"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "56571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETAIL EXEMPTEE LICENSE",
"identifier": "22426",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTH COAST MEDICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.