Organization Active NPI

Sara Cummings

  • Durable Medical Equipment & Medical Supplies
  • Lemon Grove, CA
National Provider Identifier
1487685491
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100608 Issued in CA
Legal business name
SARA CUMMINGS
Practice address
7846 Broadway
Lemon Grove, CA 91945
Phone
(619) 667-3700
Fax
(619) 667-3777
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Sara Cummings
Title
Owner
Phone
(619) 667-3700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100608 CA Primary
Prosthetic/Orthotic Supplier 335E00000X C16126 CA

Addresses

Primary practice location

7846 Broadway
Lemon Grove, CA 91945

Mailing address

7846 Broadway
Lemon Grove, CA 91945
Phone (619) 667-3700

Other identifiers 2

IdentifierTypeStateIssuer
1487685491MedicaidCA
DME01317FMedicaidCA

Other names 1

  • San Diego Homecare Supplies Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1487685491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7846 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "91945",
            "telephone_number": "619-667-3700",
            "fax_number": "619-667-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7846 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "91945",
            "telephone_number": "619-667-3700",
            "fax_number": "619-667-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA CUMMINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-667-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100608",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C16126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487685491",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01317F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Homecare Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.