Organization Active NPI

Advance Textiles of California, LLC

  • Contractor
  • Redwood City, CA
National Provider Identifier
1548916745
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
ADVANCE TEXTILES OF CALIFORNIA, LLC
Practice address
639 Bair Island Rd Ste 104
Redwood City, CA 94063-2753
Phone
(650) 365-2602
NPI assigned
Feb 25, 2022
Last updated
Feb 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Nancy Smock
Title
Owner
Phone
(650) 365-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU Primary

Addresses

Primary practice location

639 Bair Island Rd Ste 104
Redwood City, CA 94063-2753

Mailing address

639 Bair Island Rd Ste 104
Redwood City, CA 94063-2753
Phone (650) 365-2602

National Provider Directory

National Provider Directory

Locations

639 Bair Island Rd
Ste 104
Redwood City, CA 94063
Phone (650) 365-2602

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1548916745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 BAIR ISLAND RD STE 104",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632753",
            "telephone_number": "650-365-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 BAIR ISLAND RD STE 104",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632753",
            "telephone_number": "650-365-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE TEXTILES OF CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "SMOCK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-365-2602"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.