Organization Active NPI

Hub and Caster LLC.

  • Durable Medical Equipment & Medical Supplies
  • Petaluma, CA
National Provider Identifier
1831515493
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
201314110244 Issued in CA
Legal business name
HUB AND CASTER LLC.
Practice address
1601 Corporate Cir # 4411
Petaluma, CA 94954-9991
Phone
(707) 400-7901
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Mr. Matt Smithwagner
Title
Member
Phone
(707) 400-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 201314110244 CA Primary

Addresses

Primary practice location

1601 Corporate Cir # 4411
Petaluma, CA 94954-9991

Mailing address

5425 Snyder LN Apt 107
Rohnert Park, CA 94928-2939
Phone (707) 400-7901

National Provider Directory

National Provider Directory

Locations

1601 Corporate Cir
#4411
Petaluma, CA 94954
Phone (707) 400-7901

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1831515493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 SNYDER LN APT 107",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282939",
            "telephone_number": "707-400-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CORPORATE CIR # 4411",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949549991",
            "telephone_number": "707-400-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUB AND CASTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "SMITHWAGNER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "707-400-7901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "201314110244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.