Organization Active NPI

SC Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Rossmoor, CA
National Provider Identifier
1972755759
Registry record updated Oct 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SC MEDICAL SUPPLY INC
Practice address
2891 Saint Albans Dr
Rossmoor, CA 90720-4454
Phone
(562) 799-0585
Fax
(562) 799-0585
NPI assigned
Oct 12, 2008
Last updated
Oct 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2008

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

Authorized official

Name
Mrs. Wendy Ellen Mucho
Title
President
Phone
(562) 799-0585

Specialties & licenses 1

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

Addresses

Primary practice location

2891 Saint Albans Dr
Rossmoor, CA 90720-4454

Mailing address

2891 Saint Albans Dr
Rossmoor, CA 90720-4454
Phone (562) 799-0585

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223769600000",
    "number": "1972755759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 SAINT ALBANS DR",
            "city": "ROSSMOOR",
            "state": "CA",
            "postal_code": "907204454",
            "telephone_number": "562-799-0585",
            "fax_number": "562-799-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 SAINT ALBANS DR",
            "city": "ROSSMOOR",
            "state": "CA",
            "postal_code": "907204454",
            "telephone_number": "562-799-0585",
            "fax_number": "562-799-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-12",
        "last_updated": "2008-10-12",
        "status": "A",
        "authorized_official_last_name": "MUCHO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-799-0585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rossmoor, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2008; 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.