LSG Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

201036110171 Issued in CA

Legal business name

LSG MEDICAL, LLC

Practice address

3351 Calico Ave
San Jose, CA 95124-2532

Phone

(408) 421-9989

Fax

(866) 593-1766

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Joseph Mocny

Title

Senior Consultant

Phone

(408) 421-9989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1730449737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 CALICO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242532",
            "telephone_number": "408-421-9989",
            "fax_number": "866-593-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 CALICO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242532",
            "telephone_number": "408-421-9989",
            "fax_number": "866-593-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSG MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "MOCNY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SENIOR CONSULTANT",
        "authorized_official_telephone_number": "408-421-9989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "201036110171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in San Jose, 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 May 23, 2012; 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.