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SANTA CLARA OSTOMY & MEDICAL SUPPLY NPI 1548268261


NPI Information

NPI: 1548268261
Provider Name: SANTA CLARA OSTOMY & MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2455 FOREST AVE
SAN JOSE, CA
ZIP 95128
Phone: (408) 296-7890
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SANTA CLARA OSTOMY & MEDICAL SUPPLY is a durable medical equipment medical supplies in San Jose, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SANTA CLARA OSTOMY & MEDICAL SUPPLY NPI is 1548268261. The provider is registered as an organization entity type.

The provider's business location address is:

2455 FOREST AVE
SAN JOSE, CA
ZIP 95128-505
Phone: (408) 296-7890
Fax: (408) 296-5225

The provider's authorized official is Kathy Riccardi .
The authorized official title is Manager and has the following contact phone number (408) 296-7890.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies=========CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DME00482FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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