Organization Active NPI

Social Glass Network LLC

  • Durable Medical Equipment & Medical Supplies
  • Costa Mesa, CA
National Provider Identifier
1922565647
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOCIAL GLASS NETWORK LLC
Practice address
3303 Harbor Blvd Ste E7
Costa Mesa, CA 92626-1520
Phone
(916) 716-9110
NPI assigned
Feb 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Jennifer Axton
Title
President
Phone
(916) 716-9110

Specialties & licenses 1

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

Addresses

Primary practice location

3303 Harbor Blvd Ste E7
Costa Mesa, CA 92626-1520

Mailing address

3303 Harbor Blvd Ste E7
Costa Mesa, CA 92626-1520
Phone (916) 716-9110

Other names 1

  • Safe Measures Medical Doing business as

National Provider Directory

National Provider Directory

Locations

3303 Harbor Blvd
Ste E7
Costa Mesa, CA 92626
Phone (916) 716-9110

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1922565647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 HARBOR BLVD STE E7",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261520",
            "telephone_number": "916-716-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 HARBOR BLVD STE E7",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261520",
            "telephone_number": "916-716-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL GLASS NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "AXTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-716-9110"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Measures Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.