Organization Active NPI

Rams Ppe

  • Clinic/Center
  • Victorville, CA
National Provider Identifier
1639786189
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RAMS PPE
Practice address
15329 Bonanza Rd Ste D
Victorville, CA 92392-2457
Phone
(800) 893-5028
NPI assigned
Sep 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Sirdaniel Duplechan
Title
Owner
Phone
(661) 547-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

15329 Bonanza Rd Ste D
Victorville, CA 92392-2457

Mailing address

15329 Bonanza Rd Ste D
Victorville, CA 92392-2457
Phone (800) 893-5028

National Provider Directory

National Provider Directory

Locations

15329 Bonanza Rd
Ste D
Victorville, CA 92392
Phone (800) 893-5028

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1639786189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15329 BONANZA RD STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922457",
            "telephone_number": "800-893-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15329 BONANZA RD STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922457",
            "telephone_number": "800-893-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMS PPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "DUPLECHAN",
        "authorized_official_first_name": "SIRDANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-547-9700"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.