Organization Active NPI

Versatile Resource, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carlsbad, CA
National Provider Identifier
1376871541
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1228243 Issued in CA
Legal business name
VERSATILE RESOURCE, LLC
Practice address
5751 Palmer Way Ste G
Carlsbad, CA 92010-7249
Phone
(760) 468-3036
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Mrs. Annabelle Lee Barreto, LVN
Title
Ceo
Phone
(760) 468-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1228243 CA Primary

Addresses

Primary practice location

5751 Palmer Way Ste G
Carlsbad, CA 92010-7249

Mailing address

5751 Palmer Way Ste G
Carlsbad, CA 92010-7249
Phone (760) 468-3036

Other identifiers 1

IdentifierTypeStateIssuer
ATYPICALOtherCAATYPICAL

National Provider Directory

National Provider Directory
Tax ID family
Versatile Resource LLC2 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.

Locations

5751 Palmer Way
Ste G
Carlsbad, CA 92010
Phone (760) 468-3036

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1376871541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 PALMER WAY STE G",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920107249",
            "telephone_number": "760-468-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 PALMER WAY STE G",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920107249",
            "telephone_number": "760-468-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSATILE RESOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "BARRETO",
        "authorized_official_first_name": "ANNABELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-468-3036",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "1228243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATYPICAL",
            "identifier": "ATYPICAL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.