NPIMap

Organization Active NPI

Itc Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • San Francisco, CA
National Provider Identifier
1780012237
Registry record updated Oct 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ITC MEDICAL SUPPLIES INC
Practice address
1635 Divisadero St
Suite 105
San Francisco, CA 94115-3036
Phone
(415) 346-7100
Fax
(415) 346-7177
NPI assigned
Oct 19, 2013
Last updated
Oct 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2013

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

Authorized official

Name
Mrs. Faina Kautsky
Title
Vice President
Phone
(415) 387-7100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1635 Divisadero St
Suite 105
San Francisco, CA 94115-3036

Mailing address

1635 Divisadero St
Suite 105
San Francisco, CA 94115-3036
Phone (415) 346-7100

National Provider Directory

National Provider Directory
Tax ID family
Itc Medical Supplies Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1382140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382140800000",
    "number": "1780012237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "SUITE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153036",
            "telephone_number": "415-346-7100",
            "fax_number": "415-346-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "SUITE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153036",
            "telephone_number": "415-346-7100",
            "fax_number": "415-346-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITC MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-19",
        "last_updated": "2013-10-19",
        "status": "A",
        "authorized_official_last_name": "KAUTSKY",
        "authorized_official_first_name": "FAINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "415-387-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2013; 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.