SCHRADERS MEDICAL SUPPLY INC. NPI 1265498760

NPI Information

NPI: 1265498760
Provider Name: SCHRADERS MEDICAL SUPPLY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
5507 BROOKS ST
MONTCLAIR, CA
ZIP 91763
Phone: (909) 447-7040
Get Directions

SCHRADERS MEDICAL SUPPLY, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Montclair, CA. SCHRADERS MEDICAL SUPPLY, INC. NPI is 1265498760. The provider is registered as an organization entity type.

The provider's business location address is:

5507 BROOKS ST
MONTCLAIR, CA
ZIP 91763-547
Phone: (909) 447-7040

The provider's authorized official is Marvin Ronald Schrader .
The authorized official title is President and has the following contact phone number (909) 447-7040.

The enumeration date for this NPI number is 4/24/2006 and was last updated on 7/7/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1127310001	MEDICARE NSC	CALIFORNIA
2	DME02413F	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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