Organization Active NPI

Kabogo Gitau

Doing business as Life Care Access

  • Durable Medical Equipment & Medical Supplies
  • San Leandro, CA
National Provider Identifier
1811181084
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103435 Issued in CA
Legal business name
KABOGO GITAU
Doing business as
Life Care Access
Practice address
14511 E 14TH St
San Leandro, CA 94578-2814
Phone
(510) 357-7411
Fax
(510) 357-7412
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. Kabogo Gitau
Title
Owner
Phone
(510) 357-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103435 CA Primary

Addresses

Primary practice location

14511 E 14TH St
San Leandro, CA 94578-2814

Mailing address

14511 E 14TH St
P.O. Box 3438
San Leandro, CA 94578-2814
Phone (510) 357-7411

Other names 1

  • Life Care Access Doing business as

National Provider Directory

National Provider Directory

Locations

14511 E 14th St
San Leandro, CA 94578
Phone (510) 357-7411

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1811181084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 E 14TH ST",
            "address_2": "P.O. BOX 3438",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782814",
            "telephone_number": "510-357-7411",
            "fax_number": "510-357-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782814",
            "telephone_number": "510-357-7411",
            "fax_number": "510-357-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABOGO GITAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "GITAU",
        "authorized_official_first_name": "KABOGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-357-7411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Access",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.