NPIMap

Organization Active NPI

Coram Alternate Site Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1700973336
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101225 Issued in CA
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Practice address
10915 Technology PL
San Diego, CA 92127-1811
Phone
(858) 637-6314
Fax
(858) 637-6394
NPI assigned
Oct 6, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Craig S Weinert
Title
President
Phone
(401) 765-1500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101225 CA Primary
Customized Equipment (DME) 332BC3200X 101225 CA
Oxygen Equipment & Supplies (DME) 332BX2000X 101225 CA
Community/Retail Pharmacy 3336C0003X 48353 CA

Addresses

Primary practice location

10915 Technology PL
San Diego, CA 92127-1811

Mailing address

1675 Broadway
Suite 900
Denver, CO 80202-4675
Phone (303) 672-8631

Other identifiers 2

IdentifierTypeStateIssuer
48353OtherCAPHARMACY LICENSE
45674OtherCAMEDICAL DEVICE RETAILER

National Provider Directory

National Provider Directory
Tax ID family
Curaflex Infusion SVC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

10915 Technology Pl
San Diego, CA 92127
Phone (858) 637-6314

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1700973336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BROADWAY",
            "address_2": "SUITE 900",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024675",
            "telephone_number": "303-672-8631",
            "fax_number": "303-298-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 TECHNOLOGY PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271811",
            "telephone_number": "858-637-6314",
            "fax_number": "858-637-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "WEINERT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101225",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "101225",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "101225",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "48353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "48353",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DEVICE RETAILER",
            "identifier": "45674",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.