Cottonwood Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COTTONWOOD MEDICAL, INC

Practice address

3118 W Burbank Blvd
Burbank, CA 91505-2313

Phone

(818) 422-2965

Fax

(818) 736-5030

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Sterling Sergent Jr.

Title

President

Phone

(818) 422-2965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281830400000",
    "number": "1679649115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 W TOLUCA LAKE LN",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054034",
            "telephone_number": "818-422-2965",
            "fax_number": "818-736-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052313",
            "telephone_number": "818-422-2965",
            "fax_number": "818-736-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-08-15",
        "status": "A",
        "authorized_official_last_name": "SERGENT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-422-2965",
        "authorized_official_name_prefix": "Mr.",
        "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 Burbank, CA
• Providers in Burbank, 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 Aug 15, 2010; 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.