Active NPI
Life Force DME
- Durable Medical Equipment & Medical Supplies
- San Ysidro, CA
National Provider Identifier
1730454448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 070094
- Legal business name
- LIFE FORCE DME
- Practice address
- 511 E San Ysidro Blvd # 6128
San Ysidro, CA 92173-3150 - Phone
- (619) 250-1703
- NPI assigned
- Mar 13, 2012
- 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
- Mr. Javier Herrera Jr.
- Title
- C.E.O
- Phone
- (619) 250-1703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 070094 | CA | Primary |
Addresses
Primary practice location
511 E San Ysidro Blvd # 6128
San Ysidro, CA 92173-3150
Mailing address
511 E San Ysidro Blvd # 6128
San Ysidro, CA 92173-3150
Phone (619) 250-1703
National Provider Directory
National Provider Directory- Tax ID family
- A Caring Touch Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Preferred Provider Organization
- San Diego, CA
- NPI 1740684042
Locations
511 E San Ysidro Blvd
San Ysidro, CA 92173
Phone (310) 940-4119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1730454448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E SAN YSIDRO BLVD # 6128",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921733150",
"telephone_number": "619-250-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E SAN YSIDRO BLVD # 6128",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921733150",
"telephone_number": "619-250-1703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE FORCE DME",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "HERRERA",
"authorized_official_first_name": "JAVIER",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "619-250-1703",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "070094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ysidro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.