Organization Active NPI

Metro-Med Inc-Ventura

Doing business as Quipt Home Medical Ventura

  • Durable Medical Equipment & Medical Supplies
  • Oxnard, CA
National Provider Identifier
1639278674
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100440 Issued in CA
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

Updated by the provider on Apr 11, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME03176FMedicaidCA
ZZZ133192OtherCABLUE SHIELD PROVIDER #

Other names 1

  • Quipt Home Medical Ventura Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930054088 CA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory Therapist 1658583208 Practice locations: Oxnard, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Quipt Home Medical1400 Graves Ave, Oxnard, CA 93036-7736(805) 639-0202 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 assignmentParticipating since Dec 3, 2001

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.