Organization Active NPI

Southland Respiratory Inc

  • Oxygen Equipment & Supplies (DME)
  • Riverside, CA
National Provider Identifier
1467559146
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SOUTHLAND RESPIRATORY INC
Practice address
11711 Sterling Ave Ste D
Riverside, CA 92503-4973
Phone
(951) 785-4232
Fax
(951) 785-4242
NPI assigned
Sep 17, 2006
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Allan ManioNPI 1538519780
Title
President
Phone
(951) 588-3946

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 CA Primary

Addresses

Primary practice location

11711 Sterling Ave Ste D
Riverside, CA 92503-4973

Mailing address

11711 Sterling Ave Ste D
Riverside, CA 92503-4973
Phone (951) 785-4232

Other identifiers 1

IdentifierTypeStateIssuer
DME03421FMedicaidCA

National Provider Directory

National Provider Directory

Locations

11711 Sterling Ave
Ste D
Riverside, CA 92503
Phone (951) 785-4232

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": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1467559146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 STERLING AVE STE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034973",
            "telephone_number": "951-785-4232",
            "fax_number": "951-785-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 STERLING AVE STE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034973",
            "telephone_number": "951-785-4232",
            "fax_number": "951-785-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND RESPIRATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "MANIO",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-588-3946"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03421F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.