Express Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

53793 Issued in CA

Legal business name

EXPRESS MEDICAL SUPPLY

Practice address

639 Marsat Court
Suite B
Chula Vista, CA 91911-4678

Phone

(619) 423-2600

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Melvin Jocson Mesa

Title

Administrator

Phone

(619) 423-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1386937274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 MARSAT COURT",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114678",
            "telephone_number": "619-423-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 MARSAT COURT",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114678",
            "telephone_number": "619-423-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "JOCSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-423-2600"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "53793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912210204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.