Active NPI
Kadence Healthcare, Inc
- Oxygen Equipment & Supplies (DME)
- Fresno, CA
National Provider Identifier
1720753692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- KADENCE HEALTHCARE, INC
- Practice address
- 5816 E Shields Ave Ste 111
Fresno, CA 93727-8064 - Phone
- (559) 550-3690
- Fax
- (510) 373-6376
- NPI assigned
- Aug 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Kahn
- Title
- Ceo
- Phone
- (424) 286-1080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
5816 E Shields Ave Ste 111
Fresno, CA 93727-8064
Mailing address
10840 Walker St
Cypress, CA 90630-5011
Phone (424) 286-1080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211214001631 | CA | DME Supplier - Medical Supply Company With Respiratory Therapist | 0042420309 | Practice locations: Fresno, CA |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
5816 E Shields Ave
Ste 111
Fresno, CA 93727
Phone (559) 550-3690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1720753692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10840 WALKER ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305011",
"telephone_number": "424-286-1080",
"fax_number": "310-870-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5816 E SHIELDS AVE STE 111",
"city": "FRESNO",
"state": "CA",
"postal_code": "937278064",
"telephone_number": "559-550-3690",
"fax_number": "510-373-6376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KADENCE HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-12",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A",
"authorized_official_last_name": "KAHN",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-286-1080"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.