Active NPI
Residential Medical Supply Services
- Durable Medical Equipment & Medical Supplies
- Oakland, CA
National Provider Identifier
1689682866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1232010
- Legal business name
- RESIDENTIAL MEDICAL SUPPLY SERVICES
- Practice address
- 7200 Bancroft Ave
Suite 128
Oakland, CA 94605-2403 - Phone
- (510) 553-9159
- Fax
- (510) 553-9256
- NPI assigned
- Aug 4, 2006
- 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. Charles Lee Kelly Seaborn
- Title
- President
- Phone
- (510) 553-9159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1232010 | CA | Primary |
Addresses
Primary practice location
7200 Bancroft Ave
Suite 128
Oakland, CA 94605-2403
Mailing address
7200 Bancroft Ave
Suite 128
Oakland, CA 94605-2403
Phone (510) 553-9159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9480431 | Medicaid | CA |
Other names 1
- Residential Medical Services
National Provider Directory
National Provider DirectoryLocations
7200 Bancroft Ave
Ste 128
Oakland, CA 94605
Phone (510) 553-9159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689682866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE",
"address_2": "SUITE 128",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052403",
"telephone_number": "510-553-9159",
"fax_number": "510-553-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE",
"address_2": "SUITE 128",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052403",
"telephone_number": "510-553-9159",
"fax_number": "510-553-9256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESIDENTIAL MEDICAL SUPPLY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEABORN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "LEE KELLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-553-9159",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "1232010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9480431",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Residential Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakland, CA
- Amanda Renfrow
- Christopher Raymond Renfrow, PT, DPT
- Aleesia Renta-Ramirez
- Rachelle Ann Reposa, LCSW
- Isabella Crystal Catherine Requiro
- Dawn H Resney-Deems, PA
- Resonant Source Therapy, Training and Consultation
- Kevin Scott Respicio, RN
- Restorative Counseling & Consultation, a Clinical Social Work Corporat
- Restorative Housing Initiative
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.