NPIMap

Organization Active NPI

LVN Medical

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1578707014
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
B2009003649 Issued in CA
Legal business name
LVN MEDICAL
Practice address
1127 Manzana Way
San Diego, CA 92139-1438
Phone
(619) 253-6514
Fax
(619) 568-3585
NPI assigned
Apr 28, 2009
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Mr. Martin R Duran, LVN
Title
Owner
Phone
(619) 253-6514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X B2009003649 CA Primary

Addresses

Primary practice location

1127 Manzana Way
San Diego, CA 92139-1438

Mailing address

1127 Manzana Way
San Diego, CA 92139-1438
Phone (619) 253-6514

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1578707014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 MANZANA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921391438",
            "telephone_number": "619-253-6514",
            "fax_number": "619-568-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 MANZANA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921391438",
            "telephone_number": "619-253-6514",
            "fax_number": "619-568-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LVN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-253-6514",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "B2009003649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.