Organization Active NPI

Coryssapher Nicholas Enterprises Inc

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1659614519
Registry record updated Mar 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CORYSSAPHER NICHOLAS ENTERPRISES INC
Practice address
1753 Garnet Ave
San Diego, CA 92109-3351
Phone
(760) 705-4269
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2013

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

Authorized official

Name
Ms. Alyssa Thalmann
Title
President
Phone
(760) 705-4269

Specialties & licenses 1

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

Addresses

Primary practice location

1753 Garnet Ave
San Diego, CA 92109-3351

Mailing address

1753 Garnet Ave
San Diego, CA 92109-3351
Phone (760) 705-4269

Other names 1

  • Ostomysupplies.biz Doing business as

National Provider Directory

National Provider Directory

Locations

1753 Garnet Ave
San Diego, CA 92109
Phone (760) 705-4269

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364601600000",
    "number": "1659614519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093351",
            "telephone_number": "760-705-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093351",
            "telephone_number": "760-705-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYSSAPHER NICHOLAS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-30",
        "status": "A",
        "authorized_official_last_name": "THALMANN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-705-4269",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ostomysupplies.biz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2013; 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.