Organization Active NPI

Pulmonaire Inc

  • Oxygen Equipment & Supplies (DME)
  • La Verne, CA
National Provider Identifier
1831171685
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PULMONAIRE INC
Practice address
1574 Arrow Highway
Suite a
La Verne, CA 91750-3599
Phone
(909) 593-0202
Fax
(909) 593-0209
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Mrs. Gail M Stillman
Title
Owner
Phone
(909) 593-0202

Specialties & licenses 1

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

Addresses

Primary practice location

1574 Arrow Highway
Suite a
La Verne, CA 91750-3599

Mailing address

1574 Arrow Highway
Suite a
La Verne, CA 91750-3599
Phone (909) 593-0202

Other identifiers 1

IdentifierTypeStateIssuer
DME02044FMedicaidCA

Other names 1

  • Pulmonaire Oxygen Services Doing business as

National Provider Directory

National Provider Directory

Locations

1574 Arrow Hwy
Ste A
La Verne, CA 91750
Phone (909) 593-0202

750 Arrow Hwy
La Verne, CA 91750
Phone (909) 593-0202

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1831171685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 ARROW HIGHWAY",
            "address_2": "SUITE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503599",
            "telephone_number": "909-593-0202",
            "fax_number": "909-593-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 ARROW HIGHWAY",
            "address_2": "SUITE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503599",
            "telephone_number": "909-593-0202",
            "fax_number": "909-593-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONAIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "STILLMAN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-593-0202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02044F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonaire Oxygen Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.