Organization Active NPI

Genesis Surgical

  • Durable Medical Equipment & Medical Supplies
  • Roseville, CA
National Provider Identifier
1881849537
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENESIS SURGICAL
Practice address
324 Rainbow Trout CT
Roseville, CA 95747-4628
Phone
(916) 801-1673
Fax
(916) 781-2425
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Erik Truxal
Title
President
Phone
(916) 801-1673

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

324 Rainbow Trout CT
Roseville, CA 95747-4628

Mailing address

324 Rainbow Trout CT
Roseville, CA 95747-4628
Phone (916) 801-1673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1881849537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 RAINBOW TROUT CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474628",
            "telephone_number": "916-801-1673",
            "fax_number": "916-781-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 RAINBOW TROUT CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474628",
            "telephone_number": "916-801-1673",
            "fax_number": "916-781-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "TRUXAL",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-801-1673"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.