Kci USA, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102709 Issued in CA

Legal business name

KCI USA, INC.

Practice address

1076 Mellon Ave
Manteca, CA 95337-6119

Phone

(209) 239-1896

NPI assigned

Oct 5, 2005

Organization subpart

Yes

Parent organization

KCI USA, INC.As reported in NPPES

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

Authorized official

Name

William F Hulse IV

Title

Chief Compliance Officer

Phone

(210) 255-7338

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Kci USA Inc

Locations

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1558358432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 FARINON DR",
            "address_2": "ATTN HCC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 MELLON AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376119",
            "telephone_number": "209-239-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCI USA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KCI USA, INC.",
        "enumeration_date": "2005-10-05",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "HULSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-255-7338",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03232F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pawanpreet Kaur
• Sumanjeet Kaur
• Supreet Kaur, NP
• Tina Marie Kavanagh
• Sophie Kay, D.O
• Alicia Keener
• Teresa Ann Kellstrom, LMFT
• Kelly Mah, M.D. (Manteca Obstetrics and Gynecology Medical Group)
• Himaja Kenchey
• Kenneth S. Ching, MD., Inc

• Durable Medical Equipment & Medical Supplies in Manteca, CA
• Providers in Manteca, 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 Nov 6, 2013; 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.