E. Jay D. Delapenha

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103718 Issued in CA

Legal business name

E. JAY D. DELAPENHA

Practice address

6920 Koll Center Pkwy
Suite 222
Pleasanton, CA 94566-3156

Phone

(925) 846-0453

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Barbara Delapenha

Title

Owner

Phone

(925) 846-0453

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1801076575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 KOLL CENTER PKWY",
            "address_2": "SUITE 222",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663156",
            "telephone_number": "925-846-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 KOLL CENTER PKWY",
            "address_2": "SUITE 222",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663156",
            "telephone_number": "925-846-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. JAY D. DELAPENHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "DELAPENHA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-846-0453"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103718",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "18404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02584F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Pleasanton, CA
• Providers in Pleasanton, 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 Apr 27, 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.