Santa Clara Ostomy & Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SANTA CLARA OSTOMY & MEDICAL SUPPLY

Practice address

2455 Forest Ave
San Jose, CA 95128-1505

Phone

(408) 296-7890

Fax

(408) 296-5225

NPI assigned

Jul 7, 2005

Last updated

Jul 21, 2022By 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

Kathy Riccardi I, A.B.C CERTIFICATION

Title

Manager

Phone

(408) 296-7890

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548268261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 FOREST AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281505",
            "telephone_number": "408-296-7890",
            "fax_number": "408-296-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 FOREST AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281505",
            "telephone_number": "408-296-7890",
            "fax_number": "408-296-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA OSTOMY & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICCARDI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-296-7890",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "A.B.C CERTIFICATION"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00482F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Clara Drug
• Santa Clara Hospice
• Santa Clara Medical Group Inc
• Santa Clara OB/GYN Medical Group
• Santa Clara Ophthalmology Incorporated
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center

• Durable Medical Equipment & Medical Supplies in San Jose, CA
• Providers in San Jose, 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 Jul 21, 2022; 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.