Organization Active NPI

Self Care Inc

Doing business as Bay Area Diabetes Supply Center

  • Durable Medical Equipment & Medical Supplies
  • San Francisco, CA
National Provider Identifier
1588765150
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100768 Issued in CA
Legal business name
SELF CARE INC
Doing business as
Bay Area Diabetes Supply Center
Practice address
4827 Geary Blvd
San Francisco, CA 94118-2910
Phone
(415) 664-1100
Fax
(415) 751-2244
NPI assigned
Sep 26, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mr. Paul K Kim
Title
President
Phone
(415) 664-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100768 CA Primary

Addresses

Primary practice location

4827 Geary Blvd
San Francisco, CA 94118-2910

Mailing address

4827 Geary Blvd
San Francisco, CA 94118-2910
Phone (415) 664-1100

Other identifiers 1

IdentifierTypeStateIssuer
DME01651GMedicaidCA

Other names 1

  • BAY AREA DIABETES SUPPLY CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

4827 Geary Blvd
San Francisco, CA 94118
Phone (415) 664-1100

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1588765150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182910",
            "telephone_number": "415-664-1100",
            "fax_number": "415-751-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182910",
            "telephone_number": "415-664-1100",
            "fax_number": "415-751-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-664-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01651G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY AREA DIABETES SUPPLY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.