Organization Active NPI

Aging Care, Inc.

  • Customized Equipment (DME)
  • San Leandro, CA
National Provider Identifier
1851465819
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
100055197 Issued in CA
Legal business name
AGING CARE, INC.
Practice address
1380 Bancroft Ave
Suite 5
San Leandro, CA 94577-5159
Phone
(510) 614-8780
Fax
(510) 614-7718
NPI assigned
Nov 20, 2006
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Marta Susana Pinhas
Title
President
Phone
(510) 614-8780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 100055197 CA Primary

Addresses

Primary practice location

1380 Bancroft Ave
Suite 5
San Leandro, CA 94577-5159

Mailing address

1380 Bancroft Ave
Suite 5
San Leandro, CA 94577-5159
Phone (510) 614-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061279 CA DME Supplier - Medical Supply Company 7214141084 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

1380 Bancroft Ave
Ste 5
San Leandro, CA 94577
Phone (510) 614-8780

7277 Hayvenhurst Ave
Ste B14
Van Nuys, CA 91406
Phone (510) 614-8780

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1851465819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 BANCROFT AVE",
            "address_2": "SUITE 5",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775159",
            "telephone_number": "510-614-8780",
            "fax_number": "510-614-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 BANCROFT AVE",
            "address_2": "SUITE 5",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775159",
            "telephone_number": "510-614-8780",
            "fax_number": "510-614-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "PINHAS",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "SUSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-614-8780"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "100055197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.