Action Medical Midwest

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

43566 Issued in CA

Legal business name

ACTION MEDICAL MIDWEST

Practice address

8787 Complex Dr Ste 120
San Diego, CA 92123-1451

Phone

(858) 292-9373

Fax

(858) 292-9372

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Reynolds

Title

President

Phone

(858) 292-9373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1669407276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 COMPLEX DR STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231451",
            "telephone_number": "858-292-9373",
            "fax_number": "858-292-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 COMPLEX DR STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231451",
            "telephone_number": "858-292-9373",
            "fax_number": "858-292-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION MEDICAL MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-292-9373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 16, 2008; 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.