Organization Active NPI

Kazak Enterprises, Inc.

Doing business as Diablo Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Walnut Creek, CA
National Provider Identifier
1588718829
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.