Organization Active NPI

Phoenix Cpap Services Inc

  • Durable Medical Equipment & Medical Supplies
  • La Palma, CA
National Provider Identifier
1992765739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100968 Issued in CA
Legal business name
PHOENIX CPAP SERVICES INC
Practice address
7961 Valley View Street
La Palma, CA 90623-1848
Phone
(714) 690-9278
Fax
(714) 690-9281
NPI assigned
Mar 24, 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
Patricia Ann Wyatt
Title
Ceo
Phone
(714) 690-9278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100968 CA Primary

Addresses

Primary practice location

7961 Valley View Street
La Palma, CA 90623-1848

Mailing address

7961 Valley View Street
La Palma, CA 90623-1848
Phone (714) 690-9278

Other identifiers 1

IdentifierTypeStateIssuer
DME02167FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992765739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7961 VALLEY VIEW STREET",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231848",
            "telephone_number": "714-690-9278",
            "fax_number": "714-690-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7961 VALLEY VIEW STREET",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231848",
            "telephone_number": "714-690-9278",
            "fax_number": "714-690-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CPAP SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-690-9278"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02167F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, 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.