Active NPI
Medirite DME LLC
- Durable Medical Equipment & Medical Supplies
- Santa Monica, CA
National Provider Identifier
1659853752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDIRITE DME LLC
- Practice address
- 1424 4TH St Ste 230
Santa Monica, CA 90401-3434 - Phone
- (855) 580-1802
- NPI assigned
- Sep 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Thomas Mistretta
- Title
- Owner
- Phone
- (855) 580-1802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1424 4TH St Ste 230
Santa Monica, CA 90401-3434
Mailing address
1424 4TH St Ste 230
Santa Monica, CA 90401-3434
Phone (855) 580-1802
National Provider Directory
National Provider DirectoryLocations
1424 4th St
Ste 230
Santa Monica, CA 90401
Phone (310) 394-7270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1659853752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 4TH ST STE 230",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904013434",
"telephone_number": "855-580-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 4TH ST STE 230",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904013434",
"telephone_number": "855-580-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIRITE DME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-05",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A",
"authorized_official_last_name": "MISTRETTA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "855-580-1802"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.