Organization Active NPI

Fleximug LLC

  • Customized Equipment (DME)
  • San Diego, CA
National Provider Identifier
1407202120
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
102-775138 Issued in CA
Legal business name
FLEXIMUG LLC
Practice address
1041 Market St # 400
San Diego, CA 92101-7233
Phone
(562) 841-3165
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. William David Cardell Jr., MBA
Title
Ceo
Phone
(800) 588-6190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 102-775138 CA Primary
Nursing Facility Supplies (DME) 332BN1400X 102-775138 CA

Addresses

Primary practice location

1041 Market St # 400
San Diego, CA 92101-7233

Mailing address

1041 Market St # 400
San Diego, CA 92101-7233
Phone (800) 588-6190

National Provider Directory

National Provider Directory

Locations

1041 Market St
San Diego, CA 92101
Phone (562) 841-3165

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407202120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 MARKET ST # 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017233",
            "telephone_number": "800-588-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 MARKET ST # 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017233",
            "telephone_number": "562-841-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXIMUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARDELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-588-6190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "102-775138",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "102-775138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.