Innovative Federal Operations Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

FHB101207653 Issued in CA

Legal business name

INNOVATIVE FEDERAL OPERATIONS GROUP

Practice address

640 E Vista Way
Suite B
Vista, CA 92084-5535

Phone

(760) 536-4144

Fax

(888) 415-8297

NPI assigned

Feb 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Larry L Wick

Title

Ceo

Phone

(760) 889-9425

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• IFOG Doing business as

Locations

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1487928123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E VISTA WAY",
            "address_2": "SUITE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845535",
            "telephone_number": "760-536-4144",
            "fax_number": "888-415-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E VISTA WAY",
            "address_2": "SUITE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845535",
            "telephone_number": "760-536-4144",
            "fax_number": "888-415-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FEDERAL OPERATIONS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-889-9425",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "FHB101207653",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "B2009034145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS",
            "identifier": "829402309",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IFOG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatjana Ilich, NP
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• Inadvance Medicine Associates West, P.C.
• Innervations Therapy
• Instant Care, Inc.
• Integrated Chiropractic Group
• Interchange Physicians Network Inc.
• Cristina Maria Irwin
• Donna Lynn Irwin, LM544

• Durable Medical Equipment & Medical Supplies in Vista, CA
• Providers in Vista, 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 Feb 27, 2012; 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.