Active NPI
Medsd, Inc.
- Prosthetic/Orthotic Supplier
- San Diego, CA
National Provider Identifier
1831970847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MEDSD, INC.
- Practice address
- 4420 Hotel Circle CT Ste 165
San Diego, CA 92108-3432 - Phone
- (619) 539-4890
- NPI assigned
- Oct 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soha Silem
- Title
- Ceo
- Phone
- (619) 539-4890
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4420 Hotel Circle CT Ste 165
San Diego, CA 92108-3432
Mailing address
4420 Hotel Circle CT Ste 165
San Diego, CA 92108-3432
National Provider Directory
National Provider DirectoryLocations
4420 Hotel Circle Ct
Ste 165
San Diego, CA 92108
Phone (619) 539-4890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1831970847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 HOTEL CIRCLE CT STE 165",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 HOTEL CIRCLE CT STE 165",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083432",
"telephone_number": "619-539-4890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-06",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "SILEM",
"authorized_official_first_name": "SOHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-539-4890"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.