Organization Active NPI

Power Therapeutics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Valencia, CA
National Provider Identifier
1366765752
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
POWER THERAPEUTICS, LLC
Practice address
25000 Avenue Stanford Ste 260
Valencia, CA 91355-4793
Phone
(866) 588-1172
Fax
(888) 569-0789
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Mr. Hiethem Badawi
Title
President
Phone
(866) 588-1172

Specialties & licenses 1

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

Addresses

Primary practice location

25000 Avenue Stanford Ste 260
Valencia, CA 91355-4793

Mailing address

PO Box 221021
Santa Clarita, CA 91322-1021
Phone (661) 312-3065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802002948 CA DME Supplier - Medical Supply Company 5496137838 Practice locations: Santa Clarita, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Power Therapeutics25000 Avenue Stanford, Santa Clarita, CA 91355-4793(866) 588-1172 Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ultraviolet Light Devices and/or Supplies|… Does not accept assignmentParticipating since May 3, 2022

National Provider Directory

National Provider Directory

Locations

25000 Avenue Stanford
Ste 260
Valencia, CA 91355
Phone (866) 588-1172

28422 Constellation Rd
Ste 210
Valencia, CA 91355

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1366765752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221021",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913221021",
            "telephone_number": "661-312-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 260",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554793",
            "telephone_number": "866-588-1172",
            "fax_number": "888-569-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "BADAWI",
        "authorized_official_first_name": "HIETHEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-588-1172",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.