Grandmar Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GRANDMAR INC

Practice address

15079 Wicks Blvd
San Leandro, CA 94577-6621

Phone

(510) 895-0441

Fax

(510) 895-0448

NPI assigned

Sep 25, 2006

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernard F Zimmer

Title

President

Phone

(510) 895-0441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1417058447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15079 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776621",
            "telephone_number": "510-895-0441",
            "fax_number": "510-895-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15079 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776621",
            "telephone_number": "510-895-0441",
            "fax_number": "510-895-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDMAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-895-0441"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Gow
• Anna Theresa Bustamante Goyeneche, PTA
• Shannah Ross Moratto Gozo
• Alexis McKenzy Granados
• Kimberly Grandi
• Theodore Andrew Grant-Funck
• Colleen Mica Grant, LPCC
• Darcy Elizabeth Grant, M.D.
• Olin Graves III
• McHeko Graves-Matthews, M.D.

• Customized Equipment (DME) in San Leandro, CA
• Providers in San Leandro, 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 May 16, 2008; 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.