Organization Active NPI

Prime Healthshare

  • Durable Medical Equipment & Medical Supplies
  • Fullerton, CA
National Provider Identifier
1497384127
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIME HEALTHSHARE
Practice address
251 Imperial Hwy Ste 410
Fullerton, CA 92835-1058
Phone
(714) 494-1380
Fax
(714) 738-1238
NPI assigned
Apr 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Authorized official

Name
Steven Chong
Title
Director
Phone
(714) 494-1380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

251 Imperial Hwy Ste 410
Fullerton, CA 92835-1058

Mailing address

251 Imperial Hwy Ste 410
Fullerton, CA 92835-1058
Phone (714) 494-1380

National Provider Directory

National Provider Directory

Locations

251 Imperial Hwy
Ste 410
Fullerton, CA 92835
Phone (714) 494-1380

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585958400000",
    "number": "1497384127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 IMPERIAL HWY STE 410",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351058",
            "telephone_number": "714-494-1380",
            "fax_number": "714-738-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 IMPERIAL HWY STE 410",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351058",
            "telephone_number": "714-494-1380",
            "fax_number": "714-738-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHSHARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-494-1380"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; 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.