Organization Active NPI

Core Medical Products, Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Loma Linda, CA
National Provider Identifier
1497824437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
CORE MEDICAL PRODUCTS, INC
Practice address
24769 Redlands Blvd
Suite F
Loma Linda, CA 92354-4029
Phone
(909) 478-9728
Fax
(909) 478-9627
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William H Fitzsimmons
Title
President
Phone
(909) 478-9728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X CA Primary

Addresses

Primary practice location

24769 Redlands Blvd
Suite F
Loma Linda, CA 92354-4029

Mailing address

24769 Redlands Blvd
Suite F
Loma Linda, CA 92354-4029
Phone (909) 478-9728

Other identifiers 1

IdentifierTypeStateIssuer
DME 02251FMedicaidCA

Other names 1

  • William H Fitzsimmons Doing business as

National Provider Directory

National Provider Directory

Locations

24769 Redlands Blvd
Ste F
Loma Linda, CA 92354
Phone (909) 478-9728

24735 Redlands Blvd
Ste C
Loma Linda, CA 92354
Phone (909) 478-9728

24735 Redlands Blvd
Ste A
Loma Linda, CA 92354
Phone (909) 478-9728

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497824437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24769 REDLANDS BLVD",
            "address_2": "SUITE F",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544029",
            "telephone_number": "909-478-9728",
            "fax_number": "909-478-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24769 REDLANDS BLVD",
            "address_2": "SUITE F",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544029",
            "telephone_number": "909-478-9728",
            "fax_number": "909-478-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MEDICAL PRODUCTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-478-9728",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME 02251F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William H Fitzsimmons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.