Kci USA, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102711 Issued in CA

Legal business name

KCI USA, INC.

Practice address

328 Commercial Rd
Suite 105
San Bernardino, CA 92408-3765

Phone

(909) 478-3860

NPI assigned

Oct 5, 2005

Last updated

Nov 6, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

KCI USA, INC.As reported in NPPES

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

Authorized official

Name

William F Hulse IV

Title

Chief Compliance Officer

Phone

(210) 255-7338

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Kci Therapeutservices Inc

Locations

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1982691861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 FARINON DR",
            "address_2": "ATTN HCC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 COMMERCIAL RD",
            "address_2": "SUITE 105",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083765",
            "telephone_number": "909-478-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCI USA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KCI USA, INC.",
        "enumeration_date": "2005-10-05",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "HULSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-255-7338",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02934F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinod Kumar Kaura, MD
• Allan G Kavalich, M.D.
• Cameron Kavoosi, MD
• Kaykam Medical Solutions Inc.
• Kathyah Gabriel Kaysarn
• John P Kearney, M.D.
• Cecilia Keegan, RN
• Makayla Charmian Keeme-Anweiler
• Erin Marie Keepers
• Jason Eugene Keith

• Durable Medical Equipment & Medical Supplies in San Bernardino, CA
• Providers in San Bernardino, 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 Nov 6, 2013; 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.