Organization Active NPI

Residential Medical Supply Services

  • Durable Medical Equipment & Medical Supplies
  • Oakland, CA
National Provider Identifier
1689682866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1232010 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9480431MedicaidCA

Other names 1

  • Residential Medical Services Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.