Organization Active NPI

Engoloids Medical LLC

  • Nursing Facility Supplies (DME)
  • San Jose, CA
National Provider Identifier
1477888519
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
ENGOLOIDS MEDICAL LLC
Practice address
571 Fanelli CT
San Jose, CA 95136-1903
Phone
(408) 687-9208
Fax
(408) 677-3853
NPI assigned
Oct 7, 2009
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Nathaniel Monge Rufin
Title
Owner
Phone
(408) 687-9208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X NU Primary

Addresses

Primary practice location

571 Fanelli CT
San Jose, CA 95136-1903

Mailing address

571 Fanelli CT
San Jose, CA 95136-1903
Phone (408) 687-9208

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1477888519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 FANELLI CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361903",
            "telephone_number": "408-687-9208",
            "fax_number": "408-677-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 FANELLI CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361903",
            "telephone_number": "408-687-9208",
            "fax_number": "408-677-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGOLOIDS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "RUFIN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "MONGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-687-9208"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.