Omega DME, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OMEGA DME, LLC

Practice address

21977 Mikhail St
Santa Clarita, CA 91390-5720

Phone

(818) 748-9600

Fax

(818) 746-9601

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jeff L Sims

Title

Operations Manager

Phone

(818) 745-5583

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1780989970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18533 ROSCOE BLVD",
            "address_2": "#159",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244632",
            "telephone_number": "818-748-9600",
            "fax_number": "818-746-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21977 MIKHAIL ST",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905720",
            "telephone_number": "818-748-9600",
            "fax_number": "818-746-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "818-745-5583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA FOOD & DRUG HOME MEDICAL DEVICE RETAIL LICENSE EXEMPTEE",
            "identifier": "21680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA FOOD & DRUG HOME MEDICAL DEVICE RETAIL LICENSE",
            "identifier": "54684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine Gabriela Orellana, MS
• Kiara Jenae Orlanda
• Susana Ornelas, MSW

• Durable Medical Equipment & Medical Supplies in Santa Clarita, CA
• Providers in Santa Clarita, 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 Jan 19, 2011; 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.