Active NPI
Kazak Enterprises, Inc.
Doing business as Diablo Medical Supply
- Durable Medical Equipment & Medical Supplies
- Walnut Creek, CA
National Provider Identifier
1588718829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KAZAK ENTERPRISES, INC.
- Doing business as
- Diablo Medical Supply
- Practice address
- 1147 Alpine Rd
Walnut Creek, CA 94596-4401 - Phone
- (925) 947-6099
- Fax
- (925) 947-6624
- NPI assigned
- Jan 23, 2007
- Last updated
- Apr 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Walid Kazak
- Title
- President
- Phone
- (925) 947-6099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1147 Alpine Rd
Walnut Creek, CA 94596-4401
Mailing address
1147 Alpine Rd
Walnut Creek, CA 94596-4401
Phone (925) 947-6099
Other names 1
- Diablo Medical Supply
National Provider Directory
National Provider DirectoryLocations
1147 Alpine Rd
Walnut Creek, CA 94596
Phone (209) 281-5954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1588718829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1147 ALPINE RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964401",
"telephone_number": "925-947-6099",
"fax_number": "925-947-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1147 ALPINE RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964401",
"telephone_number": "925-947-6099",
"fax_number": "925-947-6624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAZAK ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "KAZAK",
"authorized_official_first_name": "WALID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-947-6099"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diablo Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.