Genesis5 LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

474684618 Issued in CA

Legal business name

GENESIS5 LLC

Doing business as

5 star medical supply

Practice address

7066 Village Parkway
Dublin, CA 94568

Phone

(925) 324-2612

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By 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

Alvin Ponce

Title

Partner

Phone

(925) 324-2612

Specialties & licenses 1

Addresses

Other names 1

• 5 star medical supply Doing business as

Locations

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1629437090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7066 VILLAGE PKWY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682408",
            "telephone_number": "925-318-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7066 VILLAGE PARKWAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568",
            "telephone_number": "925-324-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-324-2612"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "474684618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5 star medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gianfranco Gavaldon
• Deanna Gayles
• Kionasina Gebauer
• Martin Geisler
• Jami Gellerman
• Wangi Geng
• Amanda George
• Megan Leeann George
• Minu George
• Geriatrix Care

• Durable Medical Equipment & Medical Supplies in Dublin, CA
• Providers in Dublin, 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 Feb 15, 2016; 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.