NPIMap

Organization Active NPI

Cardiosom, LLC

  • Oxygen Equipment & Supplies (DME)
  • San Leandro, CA
National Provider Identifier
1821295197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
CARDIOSOM, LLC
Practice address
13939 E 14TH St
Suite190
San Leandro, CA 94578-2613
Phone
(510) 614-6686
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kevin Greisl
Title
Presidentcoo
Phone
(317) 706-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

13939 E 14TH St
Suite190
San Leandro, CA 94578-2613

Mailing address

615 W Carmel Dr
Suite 100
Carmel, IN 46032-2996
Phone (800) 868-1920

Other names 1

  • CardioSom of San Leandro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardiosom LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13939 E 14th St
Ste 190
San Leandro, CA 94578
Phone (510) 714-0996

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821295197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CARMEL DR",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322996",
            "telephone_number": "800-868-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST",
            "address_2": "SUITE190",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782613",
            "telephone_number": "510-614-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREISL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENTCOO",
        "authorized_official_telephone_number": "317-706-1080"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom of San Leandro",
            "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 22, 2020; 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.