Sped K12 Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SPED K12 INC

Practice address

1290 Kifer Rd
Suite # 301
Sunnyvale, CA 94086-5322

Phone

(800) 982-9430

NPI assigned

Oct 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Pradeesh Thomas

Title

Ceo

Phone

(408) 666-3743

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1407284706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 KIFER RD",
            "address_2": "SUITE # 301",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940865322",
            "telephone_number": "800-982-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 KIFER RD",
            "address_2": "SUITE # 301",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940865322",
            "telephone_number": "800-982-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPED K12 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PRADEESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-666-3743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.