NPIMap

Organization Active NPI

Sourceone Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
National Provider Identifier
1689642191
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOURCEONE MEDICAL INC
Practice address
5028 S Ash Ave
Tempe, AZ 85282-6848
Phone
(888) 447-9056
Fax
(800) 588-1253
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Frank Bryan
Title
Adm Office MGR
Phone
(888) 447-9056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5028 S Ash Ave
Tempe, AZ 85282-6848

Mailing address

38 Tesla
Suite 150
Irvine, CA 92618-4670
Phone (888) 447-9056

Other names 1

  • SOURCEONE MEDICAL INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Source One Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5028 S Ash Ave
Tempe, AZ 85282

38 Tesla
Ste 150
Irvine, CA 92618
Phone (949) 679-4300

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1689642191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 TESLA",
            "address_2": "SUITE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184670",
            "telephone_number": "888-447-9056",
            "fax_number": "800-588-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 S ASH AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826848",
            "telephone_number": "888-447-9056",
            "fax_number": "800-588-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCEONE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ADM OFFICE MGR",
        "authorized_official_telephone_number": "888-447-9056"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOURCEONE MEDICAL INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.