Organization Active NPI

Redwood Electrotherapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Castro Valley, CA
National Provider Identifier
1811266935
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
201127110253 Issued in CA
Legal business name
REDWOOD ELECTROTHERAPY, LLC
Practice address
21060 Redwood Rd
Suite 200
Castro Valley, CA 94546-5931
Phone
(510) 856-4350
Fax
(510) 581-6240
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. Douglas Abeles, M.D.NPI 1508961582
Title
Orthopedic Surgeon
Phone
(510) 856-4350

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 201127110253 CA Primary

Addresses

Primary practice location

21060 Redwood Rd
Suite 200
Castro Valley, CA 94546-5931

Mailing address

21060 Redwood Rd
Suite 200
Castro Valley, CA 94546-5931
Phone (510) 856-4350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1811266935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21060 REDWOOD RD",
            "address_2": "SUITE 200",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465931",
            "telephone_number": "510-856-4350",
            "fax_number": "510-581-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21060 REDWOOD RD",
            "address_2": "SUITE 200",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465931",
            "telephone_number": "510-856-4350",
            "fax_number": "510-581-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD ELECTROTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "ABELES",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "510-856-4350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "201127110253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.