Option 1 Nutrition Solutions, Ca, Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

OPTION 1 NUTRITION SOLUTIONS, CA, INC

Practice address

3065 Research Dr.
Richmond, CA 94806

Phone

(510) 233-7332

Fax

(510) 758-9088

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Allen Charlesworth, CPA

Title

Cfo

Phone

(866) 883-1188

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Option 1 Healthcare Solutions Doing business as

Locations

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1780868059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 EAST GERMANN ROAD",
            "address_2": "SUITE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85286",
            "telephone_number": "480-883-1188",
            "fax_number": "480-883-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 RESEARCH DR.",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-233-7332",
            "fax_number": "510-758-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTION 1 NUTRITION SOLUTIONS, CA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "CHARLESWORTH",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "866-883-1188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780868059",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Option 1 Healthcare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Temitope Omotayo, PHARM.D
• Eliseo Matthew Beltran Ong
• Ilse Carolina Ontiveros
• Ike Macsimeon Onuoha
• Onyebuchi Onwuka
• Lizbeth Oregon - Rodriguez
• Zelda Lois Orenstein
• Walter Paul Orion, MFTI
• Kathy Orozco Molina, BACHELOR'S DEGREE
• Luisa Orozco Solorzano, LMFT

• Parenteral & Enteral Nutrition Supplies (DME) in Richmond, CA
• Providers in Richmond, CA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.