Richard Martin Walus

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RICHARD MARTIN WALUS

Doing business as

Good Samaritan Medical Supply

Practice address

37555 Sycamore St Ste 7
Newark, CA 94560-3939

Phone

(510) 742-2472

Fax

(510) 742-2462

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Miss Holly Joanne Torrez

Title

Manager

Phone

(510) 742-2472

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Samaritan Medical Supply Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Martin Walus

  • Durable Medical Equipment & Medical Supplies
  • Newark, CA
  • NPI 1184286643
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1841202389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37555 SYCAMORE ST STE 7",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603939",
            "telephone_number": "510-742-2472",
            "fax_number": "510-742-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37555 SYCAMORE ST STE 7",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603939",
            "telephone_number": "510-742-2472",
            "fax_number": "510-742-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MARTIN WALUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "TORREZ",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-742-2472",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02439F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Reyes
• Lacey Reynosa
• Sharon S Rhee
• Alena Meilin Rice
• Richa Bhatia MD Inc
• Tamara Ann Riddle
• Sandra Rivera Vela
• Quanderius Robinson
• Jose Meguel Robles, SUDRC
• Nora Kay Rocha

• Durable Medical Equipment & Medical Supplies in Newark, CA
• Providers in Newark, 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 May 28, 2019; 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.