Juan C Cifuentes

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

5457080001 Issued in CA

Legal business name

JUAN C CIFUENTES

Practice address

10938 Vanowen St
North Hollywood, CA 91605-6426

Phone

(818) 760-2461

Fax

(818) 760-1105

NPI assigned

Nov 1, 2006

Last updated

Jan 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos CifuentesNPI 1265463905

Title

Owner

Phone

(818) 760-2461

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan C Cifuentes

  • Customized Equipment (DME)
  • North Hollywood, CA
  • NPI 1265463905
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1891872594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10938 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056426",
            "telephone_number": "818-760-2461",
            "fax_number": "818-760-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10938 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056426",
            "telephone_number": "818-760-2461",
            "fax_number": "818-760-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN C CIFUENTES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "CIFUENTES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-760-2461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "5457080001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.