Organization Active NPI

Acute Care Alternatives Inc

Doing business as Ancillary Provider Services

  • Parenteral & Enteral Nutrition Supplies (DME)
  • City of Industry, CA
National Provider Identifier
1962519322
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
05-38 Issued in CA
Legal business name
ACUTE CARE ALTERNATIVES INC
Doing business as
Ancillary Provider Services
Practice address
16644 E Johnson Dr
City of Industry, CA 91745-2412
Phone
(626) 820-7400
Fax
(626) 820-7444
NPI assigned
Aug 23, 2006
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Mr. Ben Mandelbaum
Title
Owner
Phone
(626) 820-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 05-38 CA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 05-38 CA Primary

Addresses

Primary practice location

16644 E Johnson Dr
City of Industry, CA 91745-2412

Mailing address

16644 E Johnson Dr
City of Industry, CA 91745-2412
Phone (626) 820-7400

Other identifiers 1

IdentifierTypeStateIssuer
DME01845GMedicaidCA

Other names 1

  • Ancillary Provider Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930077404 CA DME Supplier - Medical Supply Company 9335268861 Practice locations: City of Industry, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ancillary Provider Services16644 E Johnson Dr, City of Industry, CA 91745-2412(626) 820-7400 Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Enteral Nutrients|Enteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

16644 E Johnson Dr
City of Industry, CA 91745
Phone (626) 820-7400

16644 E Johnson Dr
Ste B
City of Industry, CA 91745
Phone (626) 820-7400

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1962519322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16644 E JOHNSON DR",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917452412",
            "telephone_number": "626-820-7400",
            "fax_number": "626-820-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16644 E JOHNSON DR",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917452412",
            "telephone_number": "626-820-7400",
            "fax_number": "626-820-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE ALTERNATIVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-820-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "05-38",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "05-38",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01845G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ancillary Provider Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.