Organization Active NPI

360 Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pinole, CA
National Provider Identifier
1598050338
Registry record updated Aug 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
360 MEDICAL SUPPLY, LLC
Practice address
828 San Pablo Avenue
Suite B
Pinole, CA 94564-2229
Phone
(888) 360-0288
Fax
(888) 360-0288
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2011

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

Authorized official

Name
Mr. Luis Marlon Cabatingan
Title
Managing Member
Phone
(888) 360-0288

Specialties & licenses 1

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

Addresses

Primary practice location

828 San Pablo Avenue
Suite B
Pinole, CA 94564-2229

Mailing address

828 San Pablo Avenue
Suite B
Pinole, CA 94564-2229
Phone (888) 360-0288

National Provider Directory

National Provider Directory

Locations

828 San Pablo Ave
Ste B
Pinole, CA 94564
Phone (510) 964-0008

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313193600000",
    "number": "1598050338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVENUE",
            "address_2": "SUITE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642229",
            "telephone_number": "888-360-0288",
            "fax_number": "888-360-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVENUE",
            "address_2": "SUITE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642229",
            "telephone_number": "888-360-0288",
            "fax_number": "888-360-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-08-13",
        "status": "A",
        "authorized_official_last_name": "CABATINGAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MARLON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "888-360-0288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

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