Blue Sparrow Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

49618 Issued in CA

Legal business name

BLUE SPARROW CORPORATION

Practice address

1515 S Sunkist St
Suite G
Anaheim, CA 92806-5808

Phone

(714) 627-0100

NPI assigned

Apr 14, 2009

Last updated

Apr 14, 2009By 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

Mr. Bapi Mohanty

Title

President

Phone

(714) 772-1203

Specialties & licenses 1

Addresses

Tax ID family

Blue Sparrow Corporation2 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.

• Blue Sparrow Corporation

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
  • NPI 1790960615
  NPD tax ID

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1477796852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S SUNKIST ST",
            "address_2": "SUITE G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065808",
            "telephone_number": "714-627-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S SUNKIST ST",
            "address_2": "SUITE G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065808",
            "telephone_number": "714-627-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPARROW CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "MOHANTY",
        "authorized_official_first_name": "BAPI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-772-1203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "49618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.