CKD Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CKD MEDICAL SUPPLY

Practice address

333 Gellert Blvd Ste 132
Daly City, CA 94015-2614

Phone

(650) 296-9260

NPI assigned

Jul 29, 2011

Last updated

Jul 29, 2011By 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

Maria Concepcion David

Title

Officer

Phone

(650) 296-9260

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1548548209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 GELLERT BLVD. # 132",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154359",
            "telephone_number": "650-296-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD STE 132",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152614",
            "telephone_number": "650-296-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKD MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CONCEPCION",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "650-296-9260"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Hsu-Ping Chuang, M.D.
• Mary-Jane Chuang
• Ashley Chun
• Justin Aaron Church, C.M.P.
• Jon W Churnin, INCORPORATED
• CL&CG LLC
• Adam G Clark-Tan, LCSW
• Anyella A. M. Clark, MFT
• Roxanne Lolita Clarke, LCSW 80279
• Clarkian Hospitalist Corporation

• Durable Medical Equipment & Medical Supplies in Daly City, CA
• Providers in Daly City, 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 29, 2011; 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.