Jita Technologies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JITA TECHNOLOGIES, LLC

Practice address

4905 Mission St
Apartment B
San Francisco, CA 94112-3415

Phone

(800) 661-9048

Fax

(800) 661-9048

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Otho Jeremiah Blocksom Jr.

Title

President

Phone

(800) 661-9048

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1669619730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 MISSION ST",
            "address_2": "APARTMENT B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123415",
            "telephone_number": "800-661-9048",
            "fax_number": "800-661-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 MISSION ST",
            "address_2": "APARTMENT B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123415",
            "telephone_number": "800-661-9048",
            "fax_number": "800-661-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITA TECHNOLOGIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "BLOCKSOM",
        "authorized_official_first_name": "OTHO",
        "authorized_official_middle_name": "JEREMIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-661-9048",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in San Francisco, CA
• Providers in San Francisco, 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 Jan 12, 2009; 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.