Organization Active NPI

Progressive Medical

  • Durable Medical Equipment & Medical Supplies
  • Carlsbad, CA
National Provider Identifier
1639225261
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
43639 Issued in CA
Legal business name
PROGRESSIVE MEDICAL
Practice address
2720 Loker Ave W
Suite P
Carlsbad, CA 92010-6604
Phone
(760) 448-4448
Fax
(760) 448-4449
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Mrs. Helen A. Kent, RRT
Title
President
Phone
(760) 448-4448

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 43639 CA Primary
Customized Equipment (DME) 332BC3200X 43639 CA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 43639 CA
Oxygen Equipment & Supplies (DME) 332BX2000X 43639 CA

Addresses

Primary practice location

2720 Loker Ave W
Suite P
Carlsbad, CA 92010-6604

Mailing address

2720 Loker Ave W
Suite P
Carlsbad, CA 92010-6604
Phone (760) 448-4448

Other identifiers 1

IdentifierTypeStateIssuer
DME00536FMedicaidCA

National Provider Directory

National Provider Directory

Locations

2720 Loker Ave W
Ste P
Carlsbad, CA 92010
Phone (760) 448-4448

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1639225261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 LOKER AVE W",
            "address_2": "SUITE P",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106604",
            "telephone_number": "760-448-4448",
            "fax_number": "760-448-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 LOKER AVE W",
            "address_2": "SUITE P",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106604",
            "telephone_number": "760-448-4448",
            "fax_number": "760-448-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-448-4448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43639",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "43639",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "43639",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "43639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00536F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.