Saffron'S Specialized Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

201012610143 Issued in CA

Legal business name

SAFFRON'S SPECIALIZED MEDICAL, LLC

Practice address

101 Wikiup Dr
Suite C
Santa Rosa, CA 95403-1375

Phone

(707) 526-0356

Fax

(707) 526-0376

NPI assigned

Jun 13, 2010

Organization subpart

No

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

Authorized official

Name

Saffron Gustafson, CMF, MBA

Title

Owner, Ceo

Phone

(503) 351-3974

Specialties & licenses 1

Addresses

Other names 1

• Saffron's Specialized Medical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Pilegaard, CERTIFIED MASTECTOMY

  • Orthotic Fitter
  • Santa Rosa, CA
  • NPI 1659602423
  NPD (past)

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1992026090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WIKIUP DR",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031375",
            "telephone_number": "503-351-3974",
            "fax_number": "707-526-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WIKIUP DR",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031375",
            "telephone_number": "707-526-0356",
            "fax_number": "707-526-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFFRON'S SPECIALIZED MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-13",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "SAFFRON",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "503-351-3974",
        "authorized_official_credential": "CMF, MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "201012610143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saffron's Specialized Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Reza Saeidi, DDS
• Safeway Inc
• Safeway Inc
• Safeway Inc
• Brice Safford
• Jose Louis Safont
• Sage Educational Psychology Inc
• Mitzy Abigail Sagrero
• Dongjin Sah, DDS, MSD
• Rajkumar Saharan

• Durable Medical Equipment & Medical Supplies in Santa Rosa, CA
• Providers in Santa Rosa, 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 Sep 19, 2016; 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.