High Desert Medical & Sleep Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HIGH DESERT MEDICAL & SLEEP SUPPLIES, INC.

Practice address

112 N. China Lake Blvd.
Ridgecrest, CA 93555

Phone

(760) 375-3680

Fax

(760) 375-3675

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Patrick John Costa

Title

Ceo

Phone

(760) 375-3680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

High Desert Medical Sleep Supplies Inc2 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.

• High Desert Medical & Sleep Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
  • NPI 1114686276
  NPD tax ID

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1437224417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N. CHINA LAKE BLVD.",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "93555",
            "telephone_number": "760-375-3680",
            "fax_number": "760-375-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N. CHINA LAKE BLVD.",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "93555",
            "telephone_number": "760-375-3680",
            "fax_number": "760-375-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT MEDICAL & SLEEP SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-375-3680"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Physical Therapy Limited Partnership
• Heritage Physical Therapy Limited Partnership
• Jessica Hiatt, BA
• High Desert Audiology Inc.
• High Desert Haven LLC
• High Desert Medical Transportation LLC
• Carrie Marie Hill, M.A., O.T.R./L.
• Savannah Hinzo, SUDRC
• Samantha Hirsch
• Rachel Hoang, ACSW

• Durable Medical Equipment & Medical Supplies in Ridgecrest, CA
• Providers in Ridgecrest, 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 Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.