Active NPI
PA Healthcare Pharmaceutical Company
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
National Provider Identifier
1477921666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PA HEALTHCARE PHARMACEUTICAL COMPANY
- Practice address
- 7183 Navajo Rd
Suite a
San Diego, CA 92119-1696 - Phone
- (619) 741-9117
- Fax
- (888) 502-2754
- NPI assigned
- Sep 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Duane Bell
- Title
- General Manager
- Phone
- (619) 741-9117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | CA | Primary |
Addresses
Primary practice location
7183 Navajo Rd
Suite a
San Diego, CA 92119-1696
Mailing address
7183 Navajo Rd
Suite a
San Diego, CA 92119-1696
Phone (619) 741-9117
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100057238 | Medicaid | WI | |
| 10026579700 | Medicaid | NE | |
| 103275591-0001 | Medicaid | PA | |
| 1477921666 | Medicaid | CA | |
| 2413601 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522886400000",
"number": "1477921666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7183 NAVAJO RD",
"address_2": "SUITE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921191696",
"telephone_number": "619-741-9117",
"fax_number": "888-502-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7183 NAVAJO RD",
"address_2": "SUITE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921191696",
"telephone_number": "619-741-9117",
"fax_number": "888-502-2754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PA HEALTHCARE PHARMACEUTICAL COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-04",
"last_updated": "2018-04-05",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "DUANE",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "619-741-9117"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100057238",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026579700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103275591-0001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477921666",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2413601",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.