NPIMap

Organization Active NPI

Pals Assisted Living Services

Doing business as Pals Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
National Provider Identifier
1376859439
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101273277 Issued in CA
Legal business name
PALS ASSISTED LIVING SERVICES
Doing business as
Pals Medical Supplies
Practice address
404 N Broadway Ave
Stockton, CA 95205-4737
Phone
(209) 464-3024
Fax
(209) 323-4792
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Miss Valarie M Gray
Title
General Manager, Cfo
Phone
(209) 464-3024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101273277 CA Primary

Addresses

Primary practice location

404 N Broadway Ave
Stockton, CA 95205-4737

Mailing address

404 N Broadway Ave
Stockton, CA 95205-4737
Phone (209) 464-3024

Other names 1

  • PALS MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peebles Family Care Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1376859439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N BROADWAY AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054737",
            "telephone_number": "209-464-3024",
            "fax_number": "209-323-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N BROADWAY AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054737",
            "telephone_number": "209-464-3024",
            "fax_number": "209-323-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALS ASSISTED LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL MANAGER, CFO",
        "authorized_official_telephone_number": "209-464-3024",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101273277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALS MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.