Promed, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROMED, INC.

Doing business as

CADE Medical
MedFocus Solutions

Practice address

27375 Via Industria
Temecula, CA 92590-3699

Phone

(844) 633-6287

Fax

(951) 296-6383

NPI assigned

Jan 22, 2016

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CADE MEDICALAs reported in NPPES

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

Authorized official

Name

Mr. Christopher Thibodeaux

Title

Vice President

Phone

(844) 633-6287

Specialties & licenses 1

Addresses

Other names 2

• CADE Medical Doing business as
• MedFocus Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Promed Inc

  dba CADE Medical

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1164464707

  5991826299

  Same PAC ID

Tax ID family

Promed Inc2 organizations share this tax ID, including this one

Part of

Medfocus Solutions

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Promed Inc

  dba CADE Medical

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1164464707
  NPD tax ID

Locations

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1609233543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27375 VIA INDUSTRIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903699",
            "telephone_number": "844-633-6287",
            "fax_number": "951-296-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27375 VIA INDUSTRIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903699",
            "telephone_number": "844-633-6287",
            "fax_number": "951-296-6383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42210 Roick Dr",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905523",
            "country_code": "US",
            "telephone_number": "951-365-2125",
            "fax_number": "951-296-6383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROMED, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CADE MEDICAL",
        "enumeration_date": "2016-01-22",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "844-633-6287",
        "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": [
        {
            "organization_name": "CADE Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedFocus Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedFocus Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Temecula, CA
• Providers in Temecula, 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 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.