Active NPI
Mslll, Limited Liability Company
- Private Vehicle
- Carmichael, CA
National Provider Identifier
1669133765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- MSLLL, LIMITED LIABILITY COMPANY
- Practice address
- 5650 Marconi Ave Ste 22
Carmichael, CA 95608-4468 - Phone
- (916) 410-8618
- NPI assigned
- Jan 1, 2022
- Last updated
- Jun 22, 2024
- 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
- Sumaria Love
- Title
- Ceo
- Phone
- (916) 410-8618
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
5650 Marconi Ave Ste 22
Carmichael, CA 95608-4468
Mailing address
5960 S Land Park Dr # 415
Sacramento, CA 95822-3313
Phone (916) 410-8618
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@dermadocacademy.com |
National Provider Directory
National Provider DirectoryLocations
5650 Marconi Ave
Ste 22
Carmichael, CA 95608
Phone (916) 410-8618
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719014400000",
"number": "1669133765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 S LAND PARK DR # 415",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223313",
"telephone_number": "916-410-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 MARCONI AVE STE 22",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084468",
"telephone_number": "916-410-8618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MSLLL, LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-01",
"last_updated": "2024-06-22",
"certification_date": "2024-06-22",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "SUMARIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-410-8618"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@dermadocacademy.com",
"affiliation": "N",
"address_1": "5650 Marconi Ave Ste 22",
"city": "Carmichael",
"state": "CA",
"country_code": "US",
"postal_code": "956084468",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.