Active NPI
Versatile Resource, LLC
- Durable Medical Equipment & Medical Supplies
- Carlsbad, CA
National Provider Identifier
1376871541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1228243
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ATYPICAL | Other | CA | ATYPICAL |
National Provider Directory
National Provider Directory- Tax ID family
- Versatile Resource LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Carlsbad, CA
- NPI 1437463809
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.