Organization Active NPI

Sierra Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Santa Clarita, CA
National Provider Identifier
1881835908
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SIERRA MEDICAL SUPPLY INC.
Practice address
17812 Sierra Hwy
Ste C
Santa Clarita, CA 91351-1645
Phone
(661) 250-2510
Fax
(661) 250-2509
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Rothell O. Williams Jr.
Title
Director
Phone
(661) 250-2510

Specialties & licenses 1

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

Addresses

Primary practice location

17812 Sierra Hwy
Ste C
Santa Clarita, CA 91351-1645

Mailing address

17812 Sierra Hwy
Ste C
Santa Clarita, CA 91351-1645
Phone (661) 250-2510

National Provider Directory

National Provider Directory

Locations

17812 Sierra Hwy
Ste C
Santa Clarita, CA 91351
Phone (661) 250-2510

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1881835908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17812 SIERRA HWY",
            "address_2": "STE C",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511645",
            "telephone_number": "661-250-2510",
            "fax_number": "661-250-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17812 SIERRA HWY",
            "address_2": "STE C",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511645",
            "telephone_number": "661-250-2510",
            "fax_number": "661-250-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROTHELL",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-250-2510",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.