Great Simod Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

52595 Issued in CA

Legal business name

GREAT SIMOD MEDICAL SUPPLY, INC.

Practice address

3400 Watt Ave
Suite 101
Sacramento, CA 95821-3602

Phone

(916) 977-0512

Fax

(916) 977-0505

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Peter A. OginniNPI 1942437900

Title

President

Phone

(916) 977-0512

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Peter A Oginni, OPS MANAGER/OWNER

  • Durable Medical Equipment & Medical Supplies
  • Sacramento, CA
  • NPI 1942437900
  NPD (past) Authorized official

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1831414218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214913",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958210913",
            "telephone_number": "916-977-0512",
            "fax_number": "916-977-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WATT AVE",
            "address_2": "SUITE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213602",
            "telephone_number": "916-977-0512",
            "fax_number": "916-977-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SIMOD MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "OGINNI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-977-0512"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "52595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Michelle Gray, PA-C
• Rebekah Elaine Gray, MCPSS
• Robyn Elizabeth Gray, M.S, LMFT
• Venus Rose Gray, RADI
• Austin Joseph Graydon, PA-C
• Greater Sacramento Pediatrics Assoc Inc
• Greater Sacramento Urban League
• Robert Greaux
• James Grechko
• Yelena P Grechkosey

• Durable Medical Equipment & Medical Supplies in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.