Organization Active NPI

Cipherome, Inc.

  • Customized Equipment (DME)
  • San Jose, CA
National Provider Identifier
1811658164
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CIPHEROME, INC.
Practice address
2860 Zanker Rd Ste 105
San Jose, CA 95134-2119
Phone
(650) 714-6290
NPI assigned
Jan 7, 2022
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Mr. Kirk Johnson
Title
Cfo
Phone
(650) 714-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

2860 Zanker Rd Ste 105
San Jose, CA 95134-2119

Mailing address

2860 Zanker Rd Ste 105
San Jose, CA 95134-2119
Phone (650) 714-6290

National Provider Directory

National Provider Directory

Locations

2860 Zanker Rd
Ste 105
San Jose, CA 95134
Phone (650) 714-6290

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1811658164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 ZANKER RD STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342119",
            "telephone_number": "650-714-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 ZANKER RD STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342119",
            "telephone_number": "650-714-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIPHEROME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "650-714-6290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.