Organization Active NPI

Daphco

  • Durable Medical Equipment & Medical Supplies
  • Burbank, CA
National Provider Identifier
1881249563
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DAPHCO
Practice address
2920 W Olive Ave Ste 113
Burbank, CA 91505-4546
Phone
(888) 616-4156
Fax
(888) 616-8965
NPI assigned
Aug 8, 2019
Last updated
Jan 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
David Waddleton
Title
Owner
Phone
(888) 616-4156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2920 W Olive Ave Ste 113
Burbank, CA 91505-4546

Mailing address

2920 W Olive Ave Ste 113
Burbank, CA 91505-4546
Phone (888) 616-4156

Other identifiers 1

IdentifierTypeStateIssuer
1881249563MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200403002649 CA DME Supplier - Medical Supply Company 8820427313 Practice locations: Burbank, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Daphco2920 W Olive Ave, Burbank, CA 91505-454688861641562 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applica… Accepts assignmentParticipating since Apr 3, 2020

National Provider Directory

National Provider Directory

Locations

2920 W Olive Ave
Ste 113
Burbank, CA 91505
Phone (747) 208-3300

1601 N Gower St
Ste 107
Los Angeles, CA 90028

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1881249563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 W OLIVE AVE STE 113",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054546",
            "telephone_number": "888-616-4156",
            "fax_number": "818-960-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 W OLIVE AVE STE 113",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054546",
            "telephone_number": "888-616-4156",
            "fax_number": "888-616-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAPHCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "WADDLETON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-616-4156"
    },
    "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": "1881249563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.