Organization Active NPI

Ram Durable Medical Equipment, LLC

Doing business as Southern California Orthopedic Rehab Equipment

  • Oxygen Equipment & Supplies (DME)
  • Rocklin, CA
National Provider Identifier
1669847745
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
77444 Issued in CA
Legal business name
RAM DURABLE MEDICAL EQUIPMENT, LLC
Doing business as
Southern California Orthopedic Rehab Equipment
Practice address
4235 Pacific St
Unit C
Rocklin, CA 95677-2141
Phone
(760) 402-8096
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Mr. Andrew Joseph Grader
Title
Officer
Phone
(858) 549-1771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 77444 CA Primary

Addresses

Primary practice location

4235 Pacific St
Unit C
Rocklin, CA 95677-2141

Mailing address

7909 Silverton Ave
Suite 214
San Diego, CA 92126-6347
Phone (858) 549-1771

Other identifiers 1

IdentifierTypeStateIssuer
9222139MedicaidCA

Other names 1

  • Southern California Orthopedic Rehab Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

4235 Pacific St
Ste C
Rocklin, CA 95677
Phone (760) 402-8096

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1669847745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 SILVERTON AVE",
            "address_2": "SUITE 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266347",
            "telephone_number": "858-549-1771",
            "fax_number": "858-549-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 PACIFIC ST",
            "address_2": "UNIT C",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772141",
            "telephone_number": "760-402-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAM DURABLE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "GRADER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "858-549-1771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "77444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9222139",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Orthopedic Rehab Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.