NPIMap

Organization Active NPI

Kaja Medical Equipment and Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Ventura, CA
National Provider Identifier
1972882876
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102050738 Issued in CA
Legal business name
KAJA MEDICAL EQUIPMENT AND SUPPLY INC
Practice address
1416 E Main St
Ventura, CA 93001-3228
Phone
(805) 641-1905
Fax
(805) 641-0359
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Bryant Anthony Brown
Title
Owner
Phone
(424) 200-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102050738 CA Primary

Addresses

Primary practice location

1416 E Main St
Ventura, CA 93001-3228

Mailing address

1416 E Main St
Ventura, CA 93001-3228
Phone (805) 641-1905

National Provider Directory

National Provider Directory

Locations

1416 E Main St
Ventura, CA 93001
Phone (805) 641-1905

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1972882876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013228",
            "telephone_number": "805-641-1905",
            "fax_number": "805-641-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013228",
            "telephone_number": "805-641-1905",
            "fax_number": "805-641-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAJA MEDICAL EQUIPMENT AND SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-200-4999"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102050738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.