Active NPI
David Lennart Joreteg
- Customized Equipment (DME)
- Loma Linda, CA
National Provider Identifier
1902915788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Practice address
- 11519 Laurel Ave
Loma Linda, CA 92354-6715 - Phone
- (909) 793-3434
- Fax
- (909) 802-7916
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
11519 Laurel Ave
Loma Linda, CA 92354-6715
Mailing address
PO Box 9356
Redlands, CA 92375-2556
Phone (909) 793-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902915788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9356",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923752556",
"telephone_number": "909-793-3434",
"fax_number": "909-802-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11519 LAUREL AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923546715",
"telephone_number": "909-793-3434",
"fax_number": "909-802-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORETEG",
"first_name": "DAVID",
"middle_name": "LENNART",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"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 Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.