Pacific Biomedical Distribution Services Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

C1817913 Issued in CA

Legal business name

PACIFIC BIOMEDICAL DISTRIBUTION SERVICES CORP

Practice address

3140 Gold Camp Dr
Suite 90
Rancho Cordova, CA 95670-6023

Phone

(916) 967-3652

Fax

(916) 967-3652

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. John Austin Hannemann

Title

President

Phone

(916) 967-3652

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1851797880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 GOLD CAMP DR",
            "address_2": "SUITE 90",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706023",
            "telephone_number": "916-967-3652",
            "fax_number": "916-967-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 GOLD CAMP DR",
            "address_2": "SUITE 90",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706023",
            "telephone_number": "916-967-3652",
            "fax_number": "916-967-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BIOMEDICAL DISTRIBUTION SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "HANNEMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-967-3652",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "C1817913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaniaha Orey Danstzler
• Cassara Ortiz
• Veronica Quezada Ortiz
• Angela Irene Osborn-Thomas
• Katharine Harlan Owens
• Christopher Padhi, DDS
• Antwan Padilla
• Justin Paige
• Panacea, Inc.
• Malissa Sue Pardo, LMFT

• Durable Medical Equipment & Medical Supplies in Rancho Cordova, CA
• Providers in Rancho Cordova, 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 Nov 19, 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.