Organization Active NPI

KC Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Bakersfield, CA
National Provider Identifier
1659586147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KC MEDICAL SUPPLY
Practice address
715 Sterling Rd
Bakersfield, CA 93306
Phone
(661) 330-5488
NPI assigned
May 10, 2007
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
Young Sook Byon
Title
President
Phone
(661) 366-2464

Specialties & licenses 1

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

Addresses

Primary practice location

715 Sterling Rd
Bakersfield, CA 93306

Mailing address

715 Sterling Rd
Bakersfield, CA 93306
Phone (661) 330-5488

National Provider Directory

National Provider Directory

Locations

715 Sterling Rd
Bakersfield, CA 93306
Phone (661) 330-5488

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659586147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 STERLING RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-330-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 STERLING RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-330-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYON",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-366-2464"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, 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.