Organization Active NPI

SB Medical

Doing business as StomaBags

  • Durable Medical Equipment & Medical Supplies
  • Berkeley, CA
National Provider Identifier
1891067856
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SB MEDICAL
Doing business as
StomaBags
Practice address
1440C 4TH St
Berkeley, CA 94710-1336
Phone
(305) 600-4421
Fax
(305) 517-3817
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Mr. Joel Joseph BecerraNPI 1871870667
Title
President
Phone
(305) 600-4421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1440C 4TH St
Berkeley, CA 94710-1336

Mailing address

1440C 4TH St
Berkeley, CA 94710-1336
Phone (305) 600-4421

Other names 1

  • StomaBags Doing business as

National Provider Directory

National Provider Directory

Locations

1440 4th St
Ste C
Berkeley, CA 94710
Phone (305) 600-4421

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1891067856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440C 4TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101336",
            "telephone_number": "305-600-4421",
            "fax_number": "305-517-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440C 4TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101336",
            "telephone_number": "305-600-4421",
            "fax_number": "305-517-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-600-4421",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StomaBags",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.