NPIMap

Organization Active NPI

Breakwater Medical

  • Durable Medical Equipment & Medical Supplies
  • Playa del Rey, CA
National Provider Identifier
1407308992
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BREAKWATER MEDICAL
Practice address
6403 Ocean Front Walk
Playa del Rey, CA 90293-7528
Phone
(813) 690-5608
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Patrick Cahill
Title
Ceo
Phone
(813) 690-5608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6403 Ocean Front Walk
Playa del Rey, CA 90293-7528

Mailing address

6403 Ocean Front Walk
Playa del Rey, CA 90293-7528
Phone (813) 690-5608

National Provider Directory

National Provider Directory
Tax ID family
Breakwater Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1407308992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 OCEAN FRONT WALK",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937528",
            "telephone_number": "813-690-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 OCEAN FRONT WALK",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937528",
            "telephone_number": "813-690-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKWATER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-690-5608"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.