Implantium, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

199916110010 Issued in CA

Legal business name

IMPLANTIUM, LLC

Practice address

1700 California St Ste 340
San Francisco, CA 94109-4589

Phone

(415) 931-8862

Fax

(415) 673-4582

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Trudy Maurer

Title

Ceo

Phone

(415) 931-8862

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760691364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640747",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941640747",
            "telephone_number": "415-931-8862",
            "fax_number": "415-673-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST STE 340",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094589",
            "telephone_number": "415-931-8862",
            "fax_number": "415-673-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANTIUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-931-8862",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "199916110010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.