Active NPI
360 Medical Supply, LLC
- Durable Medical Equipment & Medical Supplies
- Pinole, CA
National Provider Identifier
1598050338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.