Organization Active NPI

Qualium Corp.

  • Durable Medical Equipment & Medical Supplies
  • Los Gatos, CA
National Provider Identifier
1801940085
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
QUALIUM CORP.
Practice address
14981 National Ave
Suite 1
Los Gatos, CA 95032-2600
Phone
(866) 887-6673
Fax
(866) 442-7632
NPI assigned
Jan 23, 2007
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Mr. Anoosh Mostowfi
Title
President
Phone
(408) 499-7597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

14981 National Ave
Suite 1
Los Gatos, CA 95032-2600

Mailing address

14981 National Ave
Suite 1
Los Gatos, CA 95032-2600
Phone (866) 887-6673

Other identifiers 2

IdentifierTypeStateIssuer
7383382OtherCAAETNA ID#
ZZZ06076ZOtherCABLUE SHIELD ID# - DME

Other names 1

  • CPAP SPECIALIST Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1801940085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE",
            "address_2": "SUITE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE",
            "address_2": "SUITE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIUM CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "MOSTOWFI",
        "authorized_official_first_name": "ANOOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-499-7597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "7383382",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID# - DME",
            "identifier": "ZZZ06076Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPAP SPECIALIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.