MC Carty Medical, LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME00633G Issued in CA

Legal business name

MC CARTY MEDICAL, LTD

Practice address

34461 Yucaipa Blvd
Yucaipa, CA 92399-2411

Phone

(909) 790-2933

Fax

(909) 790-1676

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mary Lamoreaux

Title

Owner

Phone

(909) 790-2933

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932235801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34461 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992411",
            "telephone_number": "909-790-2933",
            "fax_number": "909-790-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34461 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992411",
            "telephone_number": "909-790-2933",
            "fax_number": "909-790-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC CARTY MEDICAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMOREAUX",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-790-2933"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "DME00633G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00633G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Mason, M.S., ATC
• Odette Matar
• Mauricio Dossantos DDS
• Mauricio Dossantos DDS Inc.
• Nariba Maycock Gibson, DPT
• Andrew McCreary
• M Cindy McCuistion, RN, NTP
• Loleta Michelle McDaniel, LMFT, M.S.
• Emily J McDonnell
• Analese Jane McGee

• Durable Medical Equipment & Medical Supplies in Yucaipa, CA
• Providers in Yucaipa, 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 Aug 22, 2020; 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.