Organization Active NPI

Pacific Biomedical DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Del Mar, CA
National Provider Identifier
1962687970
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PACIFIC BIOMEDICAL DME LLC
Practice address
3790 Via de la Valle
Suite 108
Del Mar, CA 92014-4247
Phone
(760) 402-5807
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Steve A Williams, BS
Title
Ceo
Phone
(760) 561-9648

Specialties & licenses 1

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

Addresses

Primary practice location

3790 Via de la Valle
Suite 108
Del Mar, CA 92014-4247

Mailing address

3790 Via de la Valle
Suite 108
Del Mar, CA 92014-4247
Phone (760) 402-5807

Other names 1

  • pacific biomedical Doing business as

National Provider Directory

National Provider Directory

Locations

3790 Via de la Valle
Ste 108
Del Mar, CA 92014
Phone (760) 402-5807

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1962687970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE",
            "address_2": "SUITE 108",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144247",
            "telephone_number": "760-402-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE",
            "address_2": "SUITE 108",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144247",
            "telephone_number": "760-402-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BIOMEDICAL DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-561-9648",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pacific biomedical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.