Organization Active NPI

Naju Dah DME Medical Corporation

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
National Provider Identifier
1922575059
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NAJU DAH DME MEDICAL CORPORATION
Practice address
2800 N California St Ste 17
Stockton, CA 95204-3759
Phone
(209) 451-0801
NPI assigned
Oct 26, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Naju Dah, M.D.
Title
Ceo
Phone
(209) 451-0801

Specialties & licenses 1

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

Addresses

Primary practice location

2800 N California St Ste 17
Stockton, CA 95204-3759

Mailing address

2800 N California St Ste 17
Stockton, CA 95204-3759

Other identifiers 1

IdentifierTypeStateIssuer
00A314480MedicaidCA

National Provider Directory

National Provider Directory

Locations

2800 N California St
Ste 17
Stockton, CA 95204
Phone (209) 451-0801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1922575059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043759",
            "telephone_number": "209-451-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAJU DAH DME MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "DAH",
        "authorized_official_first_name": "NAJU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-451-0801",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A314480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.