Organization Active NPI

Redi-Med Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oxnard, CA
National Provider Identifier
1639187768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103188 Issued in CA
Legal business name
REDI-MED SUPPLY, INC.
Practice address
1958 N Rose Ave
Oxnard, CA 93036-5051
Phone
(805) 981-2288
Fax
(805) 981-2188
NPI assigned
Aug 4, 2006
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
Marisa Lemm
Title
President
Phone
(805) 981-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103188 CA Primary

Addresses

Primary practice location

1958 N Rose Ave
Oxnard, CA 93036-5051

Mailing address

1958 N Rose Ave
Oxnard, CA 93036-5051
Phone (805) 981-2288

Other identifiers 1

IdentifierTypeStateIssuer
DME02957FMedicaidCA

National Provider Directory

National Provider Directory

Locations

1958 N Rose Ave
Oxnard, CA 93036
Phone (805) 981-2288

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639187768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 N ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930365051",
            "telephone_number": "805-981-2288",
            "fax_number": "805-981-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 N ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930365051",
            "telephone_number": "805-981-2288",
            "fax_number": "805-981-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDI-MED SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEMM",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-981-2288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02957F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, 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.