Active NPI
Su Kim
- Durable Medical Equipment & Medical Supplies
- Burbank, CA
National Provider Identifier
1831544576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 261212965
- Practice address
- 522 S Verdugo Dr
Burbank, CA 91502 - Phone
- (818) 562-9605
- Fax
- (818) 562-9606
- NPI assigned
- May 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 261212965 | CA | Primary |
Addresses
Primary practice location
522 S Verdugo Dr
Burbank, CA 91502
Mailing address
522 S Verdugo Dr
Burbank, CA 91502-2344
Phone (818) 562-9605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Remedies, Inc. | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Burbank, CA
- NPI 1023299021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1831544576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 S VERDUGO DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022344",
"telephone_number": "818-562-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 S VERDUGO DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "91502",
"telephone_number": "818-562-9605",
"fax_number": "818-562-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "261212965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.