NPIMap

Organization Active NPI

DME of Yuma LLC

  • Durable Medical Equipment & Medical Supplies
  • San Luis, AZ
National Provider Identifier
1629404892
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4377 Issued in AZ
Legal business name
DME OF YUMA LLC
Practice address
1233 N Main Street
Ste. 10
San Luis, AZ 85349
Phone
(928) 722-6050
Fax
(928) 722-6094
NPI assigned
Sep 19, 2013
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ADULT AND PEDIATRIC REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mr. Sergio I Macias, P.T.NPI 1578570081
Title
Owner/Physical Therapist
Phone
(928) 722-6050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4377 AZ Primary

Addresses

Primary practice location

1233 N Main Street
Ste. 10
San Luis, AZ 85349

Mailing address

PO Box 5841
Yuma, AZ 85366-2490
Phone (928) 722-6050

National Provider Directory

National Provider Directory
Part of
Adult and Pediatric Rehabilitation

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1629404892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5841",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662490",
            "telephone_number": "928-722-6050",
            "fax_number": "928-722-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MAIN STREET",
            "address_2": "STE. 10",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-722-6050",
            "fax_number": "928-722-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME OF YUMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT AND PEDIATRIC REHABILITATION",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-722-6050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "4377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.