Duratec Medical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

081106 Issued in CA

Legal business name

DURATEC MEDICAL INC.

Practice address

109 Goldstone CMN
Livermore, CA 94550-3953

Phone

(925) 455-4515

Fax

(925) 455-4511

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Phillip G Costello

Title

Owner

Phone

(510) 415-9464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1992953673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1181",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945660118",
            "telephone_number": "510-415-9464",
            "fax_number": "925-455-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GOLDSTONE CMN",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945503953",
            "telephone_number": "925-455-4515",
            "fax_number": "925-455-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURATEC MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-415-9464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "081106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Dsouza, ARNP
• Sandra Du Pont, MSW
• Lorena Duncan
• Bang-an Duong
• Michelle Duong
• Insuk S. Durham, R.D
• Solita Dytioco
• Scott David Eaton, M.D.
• S. Ward Eccles, DDS
• Diane Edgemon, LE, CPE

• Durable Medical Equipment & Medical Supplies in Livermore, CA
• Providers in Livermore, 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 5, 2008; 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.