Organization Active NPI

All Desert Respiratory

  • Oxygen Equipment & Supplies (DME)
  • Lancaster, CA
National Provider Identifier
1447435813
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
45053 Issued in CA
Legal business name
ALL DESERT RESPIRATORY
Practice address
42247 12TH Street West
Suite 115
Lancaster, CA 93534-2313
Phone
(661) 974-8009
Fax
(661) 974-8305
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Mr. Randall Alan Wolfe, CRTNPI 1750477055
Title
Owner/Ceo
Phone
(661) 974-8009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 45053 CA Primary

Addresses

Primary practice location

42247 12TH Street West
Suite 115
Lancaster, CA 93534-2313

Mailing address

42247 12TH Street West #115
Lancaster, CA 93534-7033
Phone (661) 974-8009

Other practice location 1

5000 W Oakey Blvd Ste D
Las Vegas, NV 89146-3393
Phone (702) 498-1344

Other names 1

  • high desert respiratory Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000246 CA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 8224209986 Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory
Tax ID family
All Desert Respiratory2 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.

Locations

44929 10th St W
Lancaster, CA 93534
Phone (661) 974-8009

5000 W Oakey Blvd
Ste D
Las Vegas, NV 89146
Phone (702) 498-1344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1447435813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42247 12TH STREET WEST #115",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347033",
            "telephone_number": "661-974-8009",
            "fax_number": "661-974-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42247 12TH STREET WEST",
            "address_2": "SUITE 115",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342313",
            "telephone_number": "661-974-8009",
            "fax_number": "661-974-8305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 W Oakey Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463393",
            "country_code": "US",
            "telephone_number": "702-498-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALL DESERT RESPIRATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "661-974-8009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "45053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "high desert respiratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.