Well Equip, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WELL EQUIP, LLC

Practice address

138 Hillcrest Ave
Pittsburg, CA 94565-6504

Phone

(925) 267-3017

Fax

(925) 267-4811

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By 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

Joven T. Cabral

Title

General Manager

Phone

(925) 267-3017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1417219718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HILLCREST AVE",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945656504",
            "telephone_number": "925-267-3017",
            "fax_number": "925-267-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HILLCREST AVE",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945656504",
            "telephone_number": "925-267-3017",
            "fax_number": "925-267-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL EQUIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "JOVEN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "925-267-3017"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.