BJ'S Trading LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

101640490 Issued in CA

Legal business name

BJ'S TRADING LLC

Practice address

9668 Heinrich Hertz Drive Suite G
San Diego, CA 92154

Phone

(619) 730-1722

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Yves Saint Christopher Custodio Herrera

Title

General Manager

Phone

(619) 730-1722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1912257940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9668 HEINRICH HERTZ DR STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921547919",
            "telephone_number": "619-730-1722",
            "fax_number": "619-730-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9668 HEINRICH HERTZ DRIVE SUITE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92154",
            "telephone_number": "619-730-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJ'S TRADING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "CUSTODIO HERRERA",
        "authorized_official_first_name": "YVES SAINT",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-730-1722"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101640490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrine Bivins
• Elizabeth Bixler, MD, M. ENG
• Genevieve Bixler, BA
• Jennifer Anne Bixler, RTC
• Guy Matthew Bizek, M.D
• Stacy Elizabeth Bjerke
• Dan Bjierke, MFT
• Tess Bjork-Kennedy
• Robert L Bjork, Jr. Jr., MD
• Rick Bjorklund, PSYD

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.