Organization Active NPI

Rise Medical Services

  • Point of Service
  • San Luis Obispo, CA
National Provider Identifier
1962822338
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
201405810381 Issued in 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
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mrs. Ladana Denise Hendrix
Title
President/Executive of Operations
Phone
(805) 852-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 201405810381 CA Primary

Addresses

Primary practice location

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

Mailing address

81 Higuera St
Suite 130
San Luis Obispo, CA 93401-5423
Phone (805) 852-1510

Other names 1

  • RMS Other name

National Provider Directory

National Provider Directory

Locations

81 Higuera St
Ste 130
San Luis Obispo, CA 93401
Phone (805) 852-1510

NPI Registry JSON

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

{
    "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"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.