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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 77444
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9222139 | Medicaid | CA |
Other names 1
- Southern California Orthopedic Rehab Equipment
National Provider Directory
National Provider DirectoryLocations
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.