Organization Active NPI

Intimate Image #2, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
National Provider Identifier
1619000338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTIMATE IMAGE #2, INC.
Practice address
2425 N Tustin Ave
Suite B
Santa Ana, CA 92705-1610
Phone
(714) 835-9656
Fax
(714) 835-9650
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carolyn Gail Sanchez
Title
Working Manager
Phone
(714) 835-9656

Specialties & licenses 1

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

Addresses

Primary practice location

2425 N Tustin Ave
Suite B
Santa Ana, CA 92705-1610

Mailing address

2425 N Tustin Ave
Suite B
Santa Ana, CA 92705-1610
Phone (714) 835-9656

National Provider Directory

National Provider Directory

Locations

2425 N Tustin Ave
Ste B
Santa Ana, CA 92705
Phone (714) 835-9656

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619000338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 N TUSTIN AVE",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051610",
            "telephone_number": "714-835-9656",
            "fax_number": "714-835-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N TUSTIN AVE",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051610",
            "telephone_number": "714-835-9656",
            "fax_number": "714-835-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIMATE IMAGE #2, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "WORKING MANAGER",
        "authorized_official_telephone_number": "714-835-9656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.