Organization Active NPI

Fremont-Rideout Management Services Organization, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Yuba City, CA
National Provider Identifier
1699848713
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION, INC.
Practice address
939 Live Oak Blvd
Yuba City, CA 95991-4002
Phone
(530) 751-7030
Fax
(530) 751-7044
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Terrance Joseph Kearns
Title
Director
Phone
(530) 751-7030

Specialties & licenses 1

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

Addresses

Primary practice location

939 Live Oak Blvd
Yuba City, CA 95991-4002

Mailing address

939 Live Oak Blvd
Yuba City, CA 95991-4002
Phone (530) 751-7030

Other identifiers 1

IdentifierTypeStateIssuer
DME00507FMedicaidCA

Other names 1

  • dba Sierra Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

939 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 790-3006

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1699848713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914002",
            "telephone_number": "530-751-7030",
            "fax_number": "530-751-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914002",
            "telephone_number": "530-751-7030",
            "fax_number": "530-751-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "KEARNS",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-751-7030"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00507F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Sierra Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.