Clearfast, Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

CLEARFAST, INC

Practice address

160 Chesterfield Dr
Ste 101
Cardiff by the Sea, CA 92007-1900

Phone

(858) 649-1070

Fax

(858) 703-6480

NPI assigned

Sep 29, 2020

Last updated

Oct 20, 2020By 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

Andre Ramirez

Title

Ceo

Phone

(858) 649-1070

Specialties & licenses 1

Addresses

Other names 1

• BevMD, Inc Former legal business name

Locations

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1437766896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CHESTERFIELD DR",
            "address_2": "STE 101",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071900",
            "telephone_number": "858-649-1070",
            "fax_number": "858-703-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CHESTERFIELD DR",
            "address_2": "STE 101",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071900",
            "telephone_number": "858-649-1070",
            "fax_number": "858-703-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARFAST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-649-1070"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BevMD, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BevMD, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristin Butterfield, MPT
• C. Castro DMD, Inc
• Richard Fell Carpenter, NP-C
• Christine Gonzales Castro, DMD
• Morgan Page Clancy, APCC
• Comprehensive Human Services Inc.
• Elissa Rose Dubois, BCBA, M.S
• Daniel Abraham Duel, MD
• Johnnie Edwin Durbin
• Angela Dawn Eastvold, PHD

• Parenteral & Enteral Nutrition Supplies (DME) in Cardiff by the Sea, CA
• Providers in Cardiff by the Sea, CA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.