Prestige Care and Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

B63179 Issued in CA

Legal business name

PRESTIGE CARE AND MEDICAL SUPPLIES

Practice address

2901 S El Camino Real Apt 313
San Mateo, CA 94403-2782

Phone

(650) 576-0483

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gregorio Palomares Jr.

Title

Owner

Phone

(650) 576-0483

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1508399445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S EL CAMINO REAL APT 313",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032782",
            "telephone_number": "650-576-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S EL CAMINO REAL APT 313",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032782",
            "telephone_number": "650-576-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "PALOMARES",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-576-0483",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "B63179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalpana Prasai, DNP
• Bonnie Taylor Praught, FNP
• Chaundra Prehara, LMFT
• Premier Healthcare Services, LLC
• Carolyn Georgine Premo
• Karen Preston, P.T.
• Charles Preuss, M.S.
• Valerie Price
• Pride and Grace Family Counseling, Inc.
• Julia Prieb, CO

• Durable Medical Equipment & Medical Supplies in San Mateo, CA
• Providers in San Mateo, 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 Apr 7, 2017; 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.