Organization Active NPI

Professional Medical Warehouse, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Palm Springs, CA
National Provider Identifier
1376854430
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROFESSIONAL MEDICAL WAREHOUSE, INC.
Practice address
1775 E Palm Canyon Dr
Suite #335
Palm Springs, CA 92264-1613
Phone
(760) 325-9400
Fax
(760) 325-6438
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Mr. Steve Davis
Title
Manger
Phone
(760) 325-9400

Specialties & licenses 1

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

Addresses

Primary practice location

1775 E Palm Canyon Dr
Suite #335
Palm Springs, CA 92264-1613

Mailing address

PO Box 5785
Palm Springs, CA 92263
Phone (760) 325-9400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1376854430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5785",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92263",
            "telephone_number": "760-325-9400",
            "fax_number": "760-325-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E PALM CANYON DR",
            "address_2": "SUITE #335",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641613",
            "telephone_number": "760-325-9400",
            "fax_number": "760-325-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL WAREHOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "760-325-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.