NPIMap

Organization Active NPI

S&S Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Newbury Park, CA
National Provider Identifier
1992945760
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
200918575 Issued in CA
Legal business name
S&S MEDICAL SUPPLY
Practice address
4940 Via Coronado
Newbury Park, CA 91320-6952
Phone
(888) 600-1922
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Jesse Wade Spradling
Title
President
Phone
(888) 600-1922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 200918575 CA Primary

Addresses

Primary practice location

4940 Via Coronado
Newbury Park, CA 91320-6952

Mailing address

4940 Via Coronado
Newbury Park, CA 91320-6952
Phone (888) 600-1922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1992945760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VIA CORONADO",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206952",
            "telephone_number": "888-600-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VIA CORONADO",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206952",
            "telephone_number": "888-600-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "SPRADLING",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-600-1922"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "200918575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.