Active NPI
Metro-Med Inc-Ventura
Doing business as Quipt Home Medical Ventura
- Durable Medical Equipment & Medical Supplies
- Oxnard, CA
National Provider Identifier
1639278674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 100440
- Legal business name
- METRO-MED INC-VENTURA
- Doing business as
- Quipt Home Medical Ventura
- Practice address
- 1400 Graves Ave
Unit F
Oxnard, CA 93036 - Phone
- (805) 639-0202
- Fax
- (805) 639-0258
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory J Crawford
- Title
- Ceo
- Phone
- (859) 441-8876
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 100440 | CA | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 100440 | CA |
Addresses
Primary practice location
1400 Graves Ave
Unit F
Oxnard, CA 93036
Mailing address
1019 Town Dr
Highland Heights, KY 41076-9114
Phone (859) 441-8876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME03176F | Medicaid | CA | |
| ZZZ133192 | Other | CA | BLUE SHIELD PROVIDER # |
Other names 1
- Quipt Home Medical Ventura
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054088 | CA | DME Supplier - Medical Supply Company | 1658583208 | Practice locations: Oxnard, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Quipt Home Medical | Blood Glucose Monitors/Supplies (Mail Order)|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices|Ventilators Accessories and/or Supplies | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1400 Graves Ave
Ste F
Oxnard, CA 93030
Phone (805) 639-0202
4464 McGrath St
Ste 121
Ventura, CA 93003
4435 McGrath St
Ste 310
Ventura, CA 93003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1639278674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 TOWN DR",
"city": "HIGHLAND HEIGHTS",
"state": "KY",
"postal_code": "410769114",
"telephone_number": "859-441-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GRAVES AVE",
"address_2": "UNIT F",
"city": "OXNARD",
"state": "CA",
"postal_code": "93036",
"telephone_number": "805-639-0202",
"fax_number": "805-639-0258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO-MED INC-VENTURA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2024-04-11",
"certification_date": "2024-04-05",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "859-441-8876"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "100440",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "100440",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME03176F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "ZZZ133192",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quipt Home Medical Ventura",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Quipt Home Medical Ventura",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.