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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 100768
- 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, 2007
- 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
- Mr. Paul K Kim
- Title
- President
- Phone
- (415) 664-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME01651G | Medicaid | CA |
Other names 1
- BAY AREA DIABETES SUPPLY CENTER
National Provider Directory
National Provider DirectoryLocations
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
- Select Cal Physical Therapy PC (Select Physical Therapy)
- Select Cal Physical Therapy PC (Select Physical Therapy)
- Select Cal Physical Therapy PC (Select Physical Therapy)
- Select Physical Therapy Holdings Inc.
- Selena Chan, O.D., a Professional Corporation (Pacific Rims Optometry)
- Self-Help for the Elderly
- Self-Help for the Elderly
- Self-Help for the Elderly (Self-Help HomeCare & Hospice)
- Self-Help for the Elderly
- Victoria Jean Self, MSN, NP, AGPCNP-BC
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.