Organization Active NPI

Kadence Healthcare, Inc

  • Oxygen Equipment & Supplies (DME)
  • Union City, CA
National Provider Identifier
1568833259
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
74845 Issued in CA
Legal business name
KADENCE HEALTHCARE, INC
Practice address
29400 Kohoutek Way Ste 170
Union City, CA 94587-1212
Phone
(510) 979-9262
Fax
(510) 609-3117
NPI assigned
Oct 7, 2015
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Greg Kahn
Title
Ceo
Phone
(714) 220-0071

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 74845 CA
Oxygen Equipment & Supplies (DME) 332BX2000X 74845 CA Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

29400 Kohoutek Way Ste 170
Union City, CA 94587-1212

Mailing address

10840 Walker St
Cypress, CA 90630-5011
Phone (714) 220-0071

Other practice location 1

48834 Kato Rd
#112A
Fremont, CA 94538-7371
Phone (510) 979-9262

Other identifiers 1

IdentifierTypeStateIssuer
1568833259MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160315003115 CA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 0042420309 Practice locations: Union City, CA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kadence Healthcare29400 Kohoutek Way, Union City, CA 94587-1212(510) 979-9262 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (… Accepts assignmentParticipating since Aug 25, 2021

National Provider Directory

National Provider Directory
Tax ID family
Kadence Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

48834 Kato Rd
Ste 112A
Fremont, CA 94538
Phone (510) 979-9262

29400 Kohoutek Way
Ste 170
Union City, CA 94587
Phone (510) 979-9262

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1568833259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305011",
            "telephone_number": "714-220-0071",
            "fax_number": "714-484-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29400 KOHOUTEK WAY STE 170",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871212",
            "telephone_number": "510-979-9262",
            "fax_number": "510-609-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48834 Kato Rd",
            "address_2": "#112A",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945387371",
            "country_code": "US",
            "telephone_number": "510-979-9262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KADENCE HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-220-0071"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "74845",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "74845",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568833259",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.