Organization Active NPI

Ungoras Inc.

  • Durable Medical Equipment & Medical Supplies
  • Santa Rosa, CA
National Provider Identifier
1700869245
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
52732 Issued in CA
Legal business name
UNGORAS INC.
Practice address
1319 Central Avenue
Suite a
Santa Rosa, CA 95401-4700
Phone
(707) 523-0516
Fax
(415) 276-6350
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Mr. William L Fournier
Title
President
Phone
(707) 523-0516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 52732 CA Primary

Addresses

Primary practice location

1319 Central Avenue
Suite a
Santa Rosa, CA 95401-4700

Mailing address

1319 Central Avenue
Suite a
Santa Rosa, CA 95401-4700
Phone (707) 523-0516

Other identifiers 1

IdentifierTypeStateIssuer
DME00265FMedicaidCA

Other names 1

  • Rehab Mobility Service Doing business as

National Provider Directory

National Provider Directory

Locations

1319 Central Ave
Ste A
Santa Rosa, CA 95401
Phone (707) 523-0516

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1700869245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 CENTRAL AVENUE",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014700",
            "telephone_number": "707-523-0516",
            "fax_number": "415-276-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 CENTRAL AVENUE",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014700",
            "telephone_number": "707-523-0516",
            "fax_number": "415-276-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNGORAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-523-0516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "52732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00265F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Mobility Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.