Jan Louise Rodriguez

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in CA

Legal business name

JAN LOUISE RODRIGUEZ

Doing business as

Quality DME Solutions

Practice address

12210 Michigan St
Suite 3
Grand Terrace, CA 92313-5484

Phone

(909) 825-5213

Fax

(909) 825-2843

NPI assigned

Sep 14, 2005

Last updated

May 14, 2013By 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

Mrs. Jan Louise Rodriguez, LVN

Title

Owner

Phone

(909) 825-5213

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Quality DME Solutions Doing business as

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1437144540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 MICHIGAN ST",
            "address_2": "SUITE 3",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135484",
            "telephone_number": "909-825-5213",
            "fax_number": "909-825-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 MICHIGAN ST",
            "address_2": "SUITE 3",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135484",
            "telephone_number": "909-825-5213",
            "fax_number": "909-825-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN LOUISE RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-825-5213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER #",
            "identifier": "DME02924F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02924F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality DME Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Grand Terrace, CA
• Providers in Grand Terrace, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.