Impedimed Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IMPEDIMED INC

Practice address

5959 Cornerstone CT W Ste 100
San Diego, CA 92121-3764

Phone

(858) 412-0200

Fax

(858) 558-8540

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Mr. John Sipes Honeycutt, BSME

Title

Senior Vice President Global Ops

Phone

(858) 412-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1659685386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 CORNERSTONE CT W STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213764",
            "telephone_number": "858-412-0200",
            "fax_number": "858-558-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 CORNERSTONE CT W STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213764",
            "telephone_number": "858-412-0200",
            "fax_number": "858-558-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPEDIMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "HONEYCUTT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SIPES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT GLOBAL OPS",
        "authorized_official_telephone_number": "858-412-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Phillip Imler, M.D.
• Katherine Laura Immerman, M.D.
• Kayla Imms
• Impact
• Impact Medical Associates California
• Shannon Imper, LMFT
• Imperial Beach Community Clinic
• Imperial Beach Optometric Corporation
• Imperial Beach Pharmacy LLC
• Imperial Beach Pharmacy LLC

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.