Mendo-Lake Home Respiratory Services

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MENDO-LAKE HOME RESPIRATORY SERVICES

Practice address

843 Parallel Dr
Lakeport, CA 95453-5707

Phone

(707) 263-9888

Fax

(707) 263-9889

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rick Gonzales

Title

Ceo

Phone

(707) 263-9888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1700801586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954539917",
            "telephone_number": "707-263-9888",
            "fax_number": "707-263-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535707",
            "telephone_number": "707-263-9888",
            "fax_number": "707-263-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDO-LAKE HOME RESPIRATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-263-9888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina McLeran
• Sabrina McLeran
• Matthew McQuaid, DPM
• Jetta Meadows, ASW
• Eliezer Melendez, MD
• Mendocino Community Health Clinic, Inc.
• Mendocino Optical Co Inc
• Janet Ruth Meyer-Mitchell, PMHNP
• Mary Miche, M.S.
• Roseline S Michel, DO

• Oxygen Equipment & Supplies (DME) in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.