Rise Medical Services

Key facts

NPI

1962822338

Entity type

Organization (NPI type 2)

Primary specialty

Point of Service 305S00000X

License

201405810381 (CA)

Legal business name

RISE MEDICAL SERVICES

Practice address

81 Higuera St
Suite 130
San Luis Obispo, CA 93401-5423

Phone

(805) 852-1510

Fax

(805) 888-2850

NPI assigned

Apr 23, 2014

Organization subpart

No

Authorized official

Name

Mrs. Ladana Denise Hendrix

Title

President/Executive of Operations

Phone

(805) 852-1510

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• RMS Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2014.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1962822338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HIGUERA ST",
            "address_2": "SUITE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015423",
            "telephone_number": "805-852-1510",
            "fax_number": "805-888-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGUERA ST",
            "address_2": "SUITE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015423",
            "telephone_number": "805-852-1510",
            "fax_number": "805-888-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "LADANA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE OF OPERATIONS",
        "authorized_official_telephone_number": "805-852-1510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "201405810381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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