Electromed, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELECTROMED, INC.

Practice address

4590 Ish Dr Unit 150
Simi Valley, CA 93063-7678

Phone

(952) 758-9299

NPI assigned

Jul 19, 2010

Organization subpart

Yes

Parent organization

ELECTROMED, INC.As reported in NPPES

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

Authorized official

Name

Kathy Korum

Title

Payer Relations Manager

Phone

(952) 758-9299

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Electromed Inc2 organizations share this tax ID, including this one

Part of

Electromed Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Electromed, Inc.

  • Durable Medical Equipment & Medical Supplies
  • New Prague, MN
  • NPI 1821030909
  NPD tax ID

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1508179649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 6TH AVE NW",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711134",
            "telephone_number": "952-758-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 ISH DR UNIT 150",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930637678",
            "telephone_number": "952-758-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROMED, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELECTROMED, INC.",
        "enumeration_date": "2010-07-19",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "KORUM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PAYER RELATIONS MANAGER",
        "authorized_official_telephone_number": "952-758-9299"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "040M2EL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508179649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edu Advanced Nursing, Inc
• Edward Kim Dental Corp.
• Gloria Effarah
• Monica El-Masry, M.D.
• Elizabeth Klahr Eldakar, PA-C
• Lynette Elhilu
• Dawn Eliades, MSN, RN
• Elite Diagnostics Medical Corporation
• Mario Martin Elizalde
• Aljo Batin Elizarde, FNP-C

• Durable Medical Equipment & Medical Supplies in Simi Valley, CA
• Providers in Simi Valley, 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 Nov 6, 2024; 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.