Central Valley Medical Supplies & Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTRAL VALLEY MEDICAL SUPPLIES & EQUIPMENT, INC.

Practice address

3597 Santiago Ave
Merced, CA 95348-9500

Phone

(209) 724-9449

Fax

(209) 724-9449

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Vergie Mary Aganan Celestino

Title

President

Phone

(209) 724-9449

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710030176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3597 SANTIAGO AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953489500",
            "telephone_number": "209-724-9449",
            "fax_number": "209-724-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 SANTIAGO AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953489500",
            "telephone_number": "209-724-9449",
            "fax_number": "209-724-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY MEDICAL SUPPLIES & EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CELESTINO",
        "authorized_official_first_name": "VERGIE MARY",
        "authorized_official_middle_name": "AGANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-724-9449",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY O F STATE ID",
            "identifier": "2962454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Merced, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.