Organization Active NPI

My Modern Healthcare, Inc

  • Customized Equipment (DME)
  • Simi Valley, CA
National Provider Identifier
1891316949
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MY MODERN HEALTHCARE, INC
Practice address
25 W Easy St Ste 301
Simi Valley, CA 93065-6231
Phone
(818) 517-8743
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Marianna Curtis
Title
Oficer
Phone
(818) 517-8743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

25 W Easy St Ste 301
Simi Valley, CA 93065-6231

Mailing address

25 W Easy St Ste 301
Simi Valley, CA 93065-6231
Phone (818) 517-8743

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1891316949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W EASY ST STE 301",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656231",
            "telephone_number": "818-517-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W EASY ST STE 301",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656231",
            "telephone_number": "818-517-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MODERN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "OFICER",
        "authorized_official_telephone_number": "818-517-8743"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.