Avondale HME, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AVONDALE HME, INC.

Practice address

2020 Camino del Rio North
Suite 205
San Diego, CA 92108

Phone

(888) 543-4039

NPI assigned

Jun 15, 2017

Organization subpart

Yes

Parent organization

AVONDALE HME, INC.As reported in NPPES

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

Authorized official

Name

Nicholas Burruss

Title

President

Phone

(888) 543-4039

Specialties & licenses 1

Addresses

Part of

Avondale HME Inc

Locations

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962932566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081542",
            "telephone_number": "888-543-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO NORTH",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "888-543-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE HME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVONDALE HME, INC.",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURRUSS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-543-4039"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Theresa W Avorh, REGISTERED NURSE
• Holly Avriette, PHD
• Vadim Avulov, D.O.
• George Awad, PHARM D
• Hannah Idiong Awai, M.D.

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.