Organization Active NPI

Home Front Pumps

  • Durable Medical Equipment & Medical Supplies
  • Victorville, CA
National Provider Identifier
1932759131
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.