North Coast Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

23400 Issued in CA

Legal business name

NORTH COAST MEDICAL SUPPLY

Practice address

215 Bayview St Apt 109
San Rafael, CA 94901-4963

Phone

(415) 532-5800

NPI assigned

Sep 16, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Khaja Hussain Khan

Title

President

Phone

(415) 532-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1487080941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BAYVIEW ST APT 109",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014963",
            "telephone_number": "415-532-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BAYVIEW ST APT 109",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014963",
            "telephone_number": "415-532-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KHAJA",
        "authorized_official_middle_name": "HUSSAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-532-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "23400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Normandi, MS, LMFT
• Shelley Beth Norris-Alvarez
• Marsha Ann Norris, LMFT
• Jennifer Norstrom, LMFT
• North Bay Recovery Center, LLC
• Northcoast Mobility
• Northern California Uropathology PC
• Northgate Care Center, Inc.
• Northgate Postacute Care
• Gerard Fuertes Notario

• Oxygen Equipment & Supplies (DME) in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.