NPIMap

Organization Active NPI

Guaranteed Medical Supply

  • Nursing Facility Supplies (DME)
  • Newark, CA
National Provider Identifier
1891983227
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
100975 Issued in CA
Legal business name
GUARANTEED MEDICAL SUPPLY
Practice address
36393 Newark Blvd
Newark, CA 94560-2501
Phone
(510) 793-9079
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Mr. Eulogio Amada AclanNPI 1548420276
Title
President/Owner
Phone
(510) 793-9079

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
Nursing Facility Supplies (DME) 332BN1400X 100975 CA Primary

Addresses

Primary practice location

36393 Newark Blvd
Newark, CA 94560-2501

Mailing address

36393 Newark Blvd
Newark, CA 94560-2501
Phone (510) 793-9079

National Provider Directory

National Provider Directory

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1891983227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36393 NEWARK BLVD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945602501",
            "telephone_number": "510-793-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36393 NEWARK BLVD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945602501",
            "telephone_number": "510-793-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARANTEED MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "ACLAN",
        "authorized_official_first_name": "EULOGIO",
        "authorized_official_middle_name": "AMADA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "510-793-9079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "100975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.