South Coast Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTH COAST MEDICAL SUPPLY

Practice address

18351 Beach Blvd Ste G
Huntington Beach, CA 92648-1347

Phone

(714) 847-0010

Fax

(714) 847-0017

NPI assigned

Oct 9, 2012

Last updated

Oct 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Menard

Title

Partner

Phone

(714) 847-0010

Specialties & licenses 1

Addresses

Tax ID family

Michael Menard2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Michael Menard

  dba South Coast Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Westminster, CA
  • NPI 1770709974
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John W Chang, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Huntington Beach, CA
  • NPI 1386667889
  NPD (past)

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1366794778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18351 BEACH BLVD STE G",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481347",
            "telephone_number": "714-847-0010",
            "fax_number": "714-847-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18351 BEACH BLVD STE G",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481347",
            "telephone_number": "714-847-0010",
            "fax_number": "714-847-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-847-0010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart A. Souders, M.D.
• Tala Soukieh
• South Coast Behavioral Health (Dolphin House, LLC)
• South Coast Behavioral Health (Gemini House, LLC)
• South Coast DME
• Southern California Mobility
• Southern California Mobility Dynamics Inc
• Southern California Mobility Inc
• Southside Physical Therapy and Sports Center
• Carrin Francis Spalding, MA, OTR/L

• Durable Medical Equipment & Medical Supplies in Huntington Beach, CA
• Providers in Huntington Beach, 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 Oct 9, 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.

Verify at the official NPI Registry.