Persue Health Partnership

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERSUE HEALTH PARTNERSHIP

Practice address

2740 S Bristol St
218 203
Santa Ana, CA 92704-6209

Phone

(714) 754-8200

Fax

(714) 754-8201

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Gomez Jr.

Title

Partnership

Phone

(714) 754-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Praseuth Souvannavong

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
  • NPI 1982928412
  NPD (past)

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1588949275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "218 203",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-754-8200",
            "fax_number": "714-754-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "218 203",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-754-8200",
            "fax_number": "714-754-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSUE HEALTH PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PARTNERSHIP",
        "authorized_official_telephone_number": "714-754-8200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982928412",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle M Perkoski, OTR/L
• Nicole A. Perlman, MFT
• Sarah Perret
• Erenia Perry, PHARM.D.
• Kaitlin B Perry
• Pes-Ebs.Inc.
• Pete Thomas DPM Professional Corporation
• Peter V. Le D.D.S. & Bich-Thuy Hoang D.D.S.
• Erik J Petersen, MD
• Danielle Peterson

• Durable Medical Equipment & Medical Supplies in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.