Organization Active NPI

Kruin Medical Products, Inc.

Doing business as SGV Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Van Nuys, CA
National Provider Identifier
1568465169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
013212 Issued in CA
Legal business name
KRUIN MEDICAL PRODUCTS, INC.
Doing business as
SGV Medical Supplies
Practice address
14735 Oxnard St
Van Nuys, CA 91411-3124
Phone
(818) 787-0162
Fax
(818) 787-0173
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Renz Jacob Kuipers
Title
President
Phone
(818) 787-0162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 013212 CA Primary

Addresses

Primary practice location

14735 Oxnard St
Van Nuys, CA 91411-3124

Mailing address

14735 Oxnard St
Van Nuys, CA 91411-3124
Phone (818) 787-0162

Other names 1

  • SGV Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

14735 Oxnard St
Van Nuys, CA 91411
Phone (818) 787-0162

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568465169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14735 OXNARD ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113124",
            "telephone_number": "818-787-0162",
            "fax_number": "818-787-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14735 OXNARD ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113124",
            "telephone_number": "818-787-0162",
            "fax_number": "818-787-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUIN MEDICAL PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUIPERS",
        "authorized_official_first_name": "RENZ",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-787-0162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "013212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SGV Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • 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.