Sweetwater Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SWEETWATER MEDICAL SUPPLY INC

Practice address

124 E 30TH St Ste A4
National City, CA 91950-7332

Phone

(619) 937-3990

Fax

(619) 383-2300

NPI assigned

Mar 21, 2019

Organization subpart

No

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

Authorized official

Name

Aramis Rafael Vela

Title

President

Phone

(619) 937-3990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1740740257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E 30TH ST STE A4",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507332",
            "telephone_number": "619-937-3990",
            "fax_number": "619-383-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 30TH ST STE A4",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507332",
            "telephone_number": "619-937-3990",
            "fax_number": "619-383-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "ARAMIS",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-937-3990"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in National City, CA
• Providers in National City, 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 Mar 21, 2019; 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.