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SHARP REES-STEALY MEDICAL GROUP INC NPI 1265742134


NPI Information

NPI: 1265742134
Provider Name: SHARP REES-STEALY MEDICAL GROUP INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 05D0707598

Address:
3555 KENYON ST
SUITE 200
SAN DIEGO, CA
ZIP 92110
Phone: (619) 446-1646
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SHARP REES-STEALY MEDICAL GROUP INC is a durable medical equipment medical supplies in San Diego, 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. SHARP REES-STEALY MEDICAL GROUP INC NPI is 1265742134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3555 KENYON ST
SUITE 200
SAN DIEGO, CA
ZIP 92110
Phone: (619) 446-1646
Fax: (858) 636-2032

The provider's authorized official is Alan J Bier .
The authorized official title is President and has the following contact phone number (858) 262-6666.

The CLIA number assigned to this NPI record is 05D0707598 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/13/2010 and was last updated on 7/23/2018.


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
1213E00000XPodiatristNo
2207R00000XInternal MedicineNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1GRE001800MEDICAIDCALIFORNIA
2GR0021726MEDICAIDCALIFORNIA

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

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