Organization Active NPI

Medicool, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Torrance, CA
National Provider Identifier
1982667044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102899 Issued in CA
Legal business name
MEDICOOL, INC.
Practice address
20460 Gramercy PL
Torrance, CA 90501-1513
Phone
(310) 782-2200
Fax
(310) 427-7274
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve Yeager
Title
President
Phone
(310) 782-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102899 CA Primary

Addresses

Primary practice location

20460 Gramercy PL
Torrance, CA 90501-1513

Mailing address

20460 Gramercy PL
Torrance, CA 90501-1513
Phone (310) 782-2200

Other identifiers 1

IdentifierTypeStateIssuer
DME02520FMedicaidCA

National Provider Directory

National Provider Directory

Locations

20460 Gramercy Pl
Torrance, CA 90501
Phone (310) 782-2200

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982667044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20460 GRAMERCY PL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011513",
            "telephone_number": "310-782-2200",
            "fax_number": "310-427-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20460 GRAMERCY PL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011513",
            "telephone_number": "310-782-2200",
            "fax_number": "310-427-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEAGER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-782-2200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02520F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.