Organization Active NPI

Mercury Plus Corporation

  • Durable Medical Equipment & Medical Supplies
  • Simi Valley, CA
National Provider Identifier
1386968907
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCURY PLUS CORPORATION
Practice address
4339 Shopping LN
Simi Valley, CA 93063-2948
Phone
(805) 578-9088
Fax
(805) 578-9288
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Mr. Carlos P Dizon
Title
Ceo
Phone
(310) 266-1408

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

4339 Shopping LN
Simi Valley, CA 93063-2948

Mailing address

4339 Shopping LN
Simi Valley, CA 93063-2948
Phone (805) 578-9088

Other names 1

  • Emerson Nutritional & Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

4339 Shopping Ln
Simi Valley, CA 93063
Phone (805) 578-9088

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1386968907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 SHOPPING LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632948",
            "telephone_number": "805-578-9088",
            "fax_number": "805-578-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 SHOPPING LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632948",
            "telephone_number": "805-578-9088",
            "fax_number": "805-578-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY PLUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-266-1408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerson Nutritional & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

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