Primecare Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

46022 Issued in CA

Legal business name

PRIMECARE MEDICAL SUPPLY, INC.

Practice address

12146 South St
Suite F
Artesia, CA 90701-6844

Phone

(562) 860-4813

Fax

(562) 860-4823

NPI assigned

Mar 8, 2007

Last updated

May 5, 2008By 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

Dele Silvia

Title

President

Phone

(562) 860-4813

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1598896540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12146 SOUTH ST",
            "address_2": "SUITE F",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016844",
            "telephone_number": "562-860-4813",
            "fax_number": "562-860-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12146 SOUTH ST",
            "address_2": "SUITE F",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016844",
            "telephone_number": "562-860-4813",
            "fax_number": "562-860-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SILVIA",
        "authorized_official_first_name": "DELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-860-4813"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Artesia, CA
• Providers in Artesia, 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 May 5, 2008; 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.