Organization Active NPI

Optimal DME Inc

  • Durable Medical Equipment & Medical Supplies
  • Corte Madera, CA
National Provider Identifier
1699438846
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTIMAL DME INC
Practice address
21 Tamal Vista Blvd Ste 271
Corte Madera, CA 94925-1142
Phone
(415) 359-7998
NPI assigned
Oct 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Ajoy K Khandheria
Title
Director
Phone
(415) 359-7998

Specialties & licenses 1

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

Addresses

Primary practice location

21 Tamal Vista Blvd Ste 271
Corte Madera, CA 94925-1142

Mailing address

5148 Paradise Dr
Corte Madera, CA 94925-2106
Phone (415) 359-7998

National Provider Directory

National Provider Directory

Locations

21 Tamal Vista Blvd
Ste 271
Corte Madera, CA 94925
Phone (415) 359-7998

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1699438846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 PARADISE DR",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949252106",
            "telephone_number": "415-359-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 271",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251142",
            "telephone_number": "415-359-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "KHANDHERIA",
        "authorized_official_first_name": "AJOY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-359-7998"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.