Organization Active NPI

Apple West Medical, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Emeryville, CA
National Provider Identifier
1366872962
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
APPLE WEST MEDICAL, LLC.
Practice address
4000 Harlan St
Emeryville, CA 94608-3604
Phone
(510) 868-9175
Fax
(855) 380-4834
NPI assigned
Nov 18, 2013
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Tom Shankle
Title
Ceo
Phone
(510) 868-9175

Specialties & licenses 1

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

Addresses

Primary practice location

4000 Harlan St
Emeryville, CA 94608-3604

Mailing address

4000 Harlan St
Emeryville, CA 94608-3604
Phone (510) 868-9175

National Provider Directory

National Provider Directory

Locations

4000 Harlan St
Emeryville, CA 94608
Phone (510) 868-9175

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1366872962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HARLAN ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083604",
            "telephone_number": "510-868-9175",
            "fax_number": "855-380-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HARLAN ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083604",
            "telephone_number": "510-868-9175",
            "fax_number": "855-380-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE WEST MEDICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "SHANKLE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-868-9175"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.