Pectus Services of Southern California LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PECTUS SERVICES OF SOUTHERN CALIFORNIA LLC

Practice address

317 N. Elcamino Real
Suite 502
Encinitas, CA 92026

Phone

(877) 732-8876

Fax

(973) 488-7185

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Joseph A Porcello

Title

Owner

Phone

(877) 732-8876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1609170356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 BELMOHR ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092202",
            "telephone_number": "973-488-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N. ELCAMINO REAL",
            "address_2": "SUITE 502",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92026",
            "telephone_number": "877-732-8876",
            "fax_number": "973-488-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECTUS SERVICES OF SOUTHERN CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "PORCELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-732-8876"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.