Organization Active NPI

Reliance Pro, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
National Provider Identifier
1730701665
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RELIANCE PRO, INC.
Practice address
3277 S White Rd
San Jose, CA 95148-4056
Phone
(408) 274-1453
Fax
(408) 274-1495
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Mohiyuddin Noor Khan
Title
President
Phone
(408) 274-1453

Specialties & licenses 1

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

Addresses

Primary practice location

3277 S White Rd
San Jose, CA 95148-4056

Mailing address

3277 S White Rd
San Jose, CA 95148-4056
Phone (408) 274-1453

Other names 1

  • Postal Annex # 12011 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1730701665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 S WHITE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484056",
            "telephone_number": "408-274-1453",
            "fax_number": "408-274-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 S WHITE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484056",
            "telephone_number": "408-274-1453",
            "fax_number": "408-274-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE PRO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHIYUDDIN",
        "authorized_official_middle_name": "NOOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-274-1453"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Postal Annex # 12011",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.