Organization Active NPI

Raine Industries

  • Durable Medical Equipment & Medical Supplies
  • Ventura, CA
National Provider Identifier
1710380175
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
18604 Issued in CA
Legal business name
RAINE INDUSTRIES
Practice address
5963 Olivas Park Dr
Suite F
Ventura, CA 93003-7666
Phone
(805) 620-0330
NPI assigned
Sep 30, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Gordon Huckestein
Title
Ceo
Phone
(805) 620-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 18604 CA Primary

Addresses

Primary practice location

5963 Olivas Park Dr
Suite F
Ventura, CA 93003-7666

Mailing address

5963 Olivas Park Dr
Suite F
Ventura, CA 93003-7666
Phone (805) 620-0330

National Provider Directory

National Provider Directory
Tax ID family
Raine Industries2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5963 Olivas Park Dr
Ste F
Ventura, CA 93003
Phone (805) 620-0330

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1710380175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 OLIVAS PARK DR",
            "address_2": "SUITE F",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037666",
            "telephone_number": "805-620-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 OLIVAS PARK DR",
            "address_2": "SUITE F",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037666",
            "telephone_number": "805-620-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINE INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "HUCKESTEIN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-620-0330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "18604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.