Active NPI
Home Front Pumps
- Durable Medical Equipment & Medical Supplies
- Victorville, CA
National Provider Identifier
1932759131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HOME FRONT PUMPS
- Practice address
- 14839 Corta Dr Ste a
Victorville, CA 92395-4066 - Phone
- (704) 286-9918
- NPI assigned
- Sep 19, 2019
- Last updated
- Oct 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vijay Kailas Brihmadesam
- Title
- Ceo
- Phone
- (617) 681-4141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
14839 Corta Dr Ste a
Victorville, CA 92395-4066
Mailing address
14839 Corta Dr Ste a
Victorville, CA 92395-4066
Phone (704) 286-9918
National Provider Directory
National Provider DirectoryLocations
6220 Hudspeth Rd
Harrisburg, NC 28075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1932759131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14839 CORTA DR STE A",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954066",
"telephone_number": "704-286-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14839 CORTA DR STE A",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954066",
"telephone_number": "704-286-9918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME FRONT PUMPS",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A",
"authorized_official_last_name": "BRIHMADESAM",
"authorized_official_first_name": "VIJAY",
"authorized_official_middle_name": "KAILAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-681-4141"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.