Active NPI
Edge Medical Solutions
- Durable Medical Equipment & Medical Supplies
- Coto de Caza, CA
National Provider Identifier
1740436385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EDGE MEDICAL SOLUTIONS
- Practice address
- 1 Altimira
Coto de Caza, CA 92679-4901 - Phone
- (949) 340-6771
- Fax
- (949) 340-7591
- NPI assigned
- Aug 14, 2008
- 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. Gerald Lynn White
- Title
- Ceo
- Phone
- (949) 340-6771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1 Altimira
Coto de Caza, CA 92679-4901
Mailing address
1 Altimira St.
Coto de Caza, CA 92679
Phone (949) 340-6771
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1740436385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ALTIMIRA ST.",
"city": "COTO DE CAZA",
"state": "CA",
"postal_code": "92679",
"telephone_number": "949-340-6771",
"fax_number": "949-340-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ALTIMIRA",
"city": "COTO DE CAZA",
"state": "CA",
"postal_code": "926794901",
"telephone_number": "949-340-6771",
"fax_number": "949-340-7591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDGE MEDICAL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-340-6771",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coto de Caza, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.