Organization Active NPI

Patrick Sogbein

Doing business as Debs Medical Distributor

  • Durable Medical Equipment & Medical Supplies
  • Van Nuys, CA
National Provider Identifier
1811175128
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102908 Issued in CA
Legal business name
PATRICK SOGBEIN
Doing business as
Debs Medical Distributor
Practice address
13615 Victory Blvd
Suite 136
Van Nuys, CA 91401-1737
Phone
(818) 376-1243
NPI assigned
Feb 8, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Patrick Adebowale SogbeinNPI 1265404081
Title
Owner
Phone
(818) 376-1243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102908 CA Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

13615 Victory Blvd
Suite 136
Van Nuys, CA 91401-1737

Mailing address

13615 Victory Blvd
Suite 136
Van Nuys, CA 91401-1737
Phone (818) 376-1243

Other identifiers 1

IdentifierTypeStateIssuer
DME03303FMedicaidCA

Other names 1

  • DEBS MEDICAL DISTRIBUTOR Doing business as

National Provider Directory

National Provider Directory

Locations

13615 Victory Blvd
Ste 136
Van Nuys, CA 91401
Phone (818) 376-1243

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1811175128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD",
            "address_2": "SUITE 136",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011737",
            "telephone_number": "818-376-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD",
            "address_2": "SUITE 136",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011737",
            "telephone_number": "818-376-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK SOGBEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SOGBEIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ADEBOWALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-376-1243"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102908",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03303F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEBS MEDICAL DISTRIBUTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.