Good Samaritan Med Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOOD SAMARITAN MED SUPPLY INC

Practice address

37555 Sycamore St Ste 7
Newark, CA 94560-3939

Phone

(510) 742-2472

Fax

(510) 742-2462

NPI assigned

Sep 12, 2019

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

Vice President

Phone

(909) 783-1700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1851941876",
    "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": "GOOD SAMARITAN MED SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "TORREZ",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-783-1700",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gomez
• Carolina Alexandra Gonzalez
• Carolyn Gonzalez, INTERN
• Jacqueline Marie D Gonzalez, DMD
• Jessica Amairani Gonzalez
• Chad Austin Goodwin
• Rodger Graves
• Tatyana Grayson
• Vernita Green
• Georgia Gruver

• 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 14, 2020; 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.