Organization Active NPI

Life Force DME

  • Durable Medical Equipment & Medical Supplies
  • San Ysidro, CA
National Provider Identifier
1730454448
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
070094 Issued in CA
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

Updated by the provider on Mar 13, 2012

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)CodeLicenseStatePrimary
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 Care2 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

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.

Verify at the official NPI Registry.