Adapt 2 It

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

103801 Issued in CA

Legal business name

ADAPT 2 IT

Practice address

24102 El Toro Rd
Suite E
Laguna Woods, CA 92637-3123

Phone

(949) 457-1600

Fax

(949) 457-1614

NPI assigned

Aug 9, 2005

Last updated

Jun 19, 2012By 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

Mrs. Leslie Ann Gibola, OTR/L

Title

Owner

Phone

(949) 457-1600

Specialties & licenses 1

Addresses

Other names 1

• n/a Former legal business name

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1477554707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24102 EL TORO RD",
            "address_2": "SUITE E",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373123",
            "telephone_number": "949-457-1600",
            "fax_number": "949-457-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24102 EL TORO RD",
            "address_2": "SUITE E",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373123",
            "telephone_number": "949-457-1600",
            "fax_number": "949-457-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPT 2 IT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "GIBOLA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-457-1600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "103801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Customized Equipment (DME) in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.