Foothill Oxygen Service, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

33837 Issued in CA

Legal business name

FOOTHILL OXYGEN SERVICE, INC

Practice address

863 Via Lata
Colton, CA 92324-3915

Phone

(909) 824-2355

Fax

(909) 824-5814

NPI assigned

Sep 2, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Phi-Nguyen

Title

Office Manager

Phone

(909) 824-2355

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548254782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 VIA LATA",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243915",
            "telephone_number": "909-824-2355",
            "fax_number": "909-824-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 VIA LATA",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243915",
            "telephone_number": "909-824-2355",
            "fax_number": "909-824-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL OXYGEN SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHI-NGUYEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-824-2355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "33837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01066F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Colton, CA
• Providers in Colton, 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 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.