Organization Active NPI

Sandy Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, CA
National Provider Identifier
1437228822
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SANDY MEDICAL SUPPLY, INC
Practice address
916 E Pacific Coast Hwy
Long Beach, CA 90806-5626
Phone
(562) 218-7784
Fax
(562) 218-7686
NPI assigned
Nov 7, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Rith S
Title
Office Manager
Phone
(562) 218-7784

Specialties & licenses 1

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

Addresses

Primary practice location

916 E Pacific Coast Hwy
Long Beach, CA 90806-5626

Mailing address

916 E Pacific Coast Hwy
Long Beach, CA 90806-5626
Phone (562) 218-7784

Other identifiers 1

IdentifierTypeStateIssuer
DME03094FMedicaidCA

National Provider Directory

National Provider Directory

Locations

916 E Pacific Coast Hwy
Long Beach, CA 90806
Phone (562) 218-7784

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1437228822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065626",
            "telephone_number": "562-218-7784",
            "fax_number": "562-218-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065626",
            "telephone_number": "562-218-7784",
            "fax_number": "562-218-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "S",
        "authorized_official_first_name": "RITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-218-7784"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03094F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.