Organization Active NPI

Mslll, Limited Liability Company

  • Private Vehicle
  • Carmichael, CA
National Provider Identifier
1669133765
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Authorized official

Name
Sumaria LoveNPI 1932854924
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)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address info@dermadocacademy.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.