Organization Active NPI

CT Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
National Provider Identifier
1912131657
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CT MEDICAL SUPPLY INC
Practice address
1005 Parker Ave
Tracy, CA 95376-3933
Phone
(209) 221-0556
Fax
(209) 221-0456
NPI assigned
May 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Anayo Nwankwo
Title
Director
Phone
(209) 221-0556

Specialties & licenses 1

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

Addresses

Primary practice location

1005 Parker Ave
Tracy, CA 95376-3933

Mailing address

1005 Parker Ave
Tracy, CA 95376-3933
Phone (209) 221-0556

National Provider Directory

National Provider Directory

Locations

1005 Parker Ave
Tracy, CA 95376
Phone (209) 221-0556

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": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1912131657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PARKER AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763933",
            "telephone_number": "209-221-0556",
            "fax_number": "209-221-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PARKER AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763933",
            "telephone_number": "209-221-0556",
            "fax_number": "209-221-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "ANAYO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-221-0556"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.