Provider Type Icon

GORDIAN MEDICAL IV INC. NPI 1992162911


NPI Information

NPI: 1992162911
Provider Name: GORDIAN MEDICAL IV, INC.

Doing Business As: AMERICAN MEDICAL TECHNOLOGIES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 05D2250602

Address:
3610 CENTRAL AVE, FLOOR 4 SUITE 40
RIVERSIDE, CA
ZIP 92506
Phone: (951) 736-9000
Get Directions

GORDIAN MEDICAL IV, INC. is a durable medical equipment medical supplies in Riverside, 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. GORDIAN MEDICAL IV, INC. NPI is 1992162911. The provider is registered as an organization entity type.
The provider Is Doing Business As American Medical Technologies.

The provider's business location address is:

3610 CENTRAL AVE, FLOOR 4 SUITE 40
RIVERSIDE, CA
ZIP 92506-900
Phone: (951) 736-9000
Fax: (877) 380-8282

The provider's authorized official is Jeffrey Bowman .
The authorized official title is President and has the following contact phone number (714) 556-0200.

The CLIA number assigned to this NPI record is 05D2250602 - other - on site employee testing with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2016 and was last updated on 1/3/2024.


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 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
11992162911MEDICAIDWISCONSIN
21992162911MEDICAIDCOLORADO
31992162911MEDICAIDMONTANA
4246478MEDICAIDALABAMA
51992162911MEDICAIDMICHIGAN
659557206MEDICAIDNEW MEXICO
70228912MEDICAIDOHIO
8092120MEDICAIDARIZONA
91992162911MEDICAIDUTAH
10250016853MEDICAIDNEVADA
1110026672800MEDICAIDNEBRASKA
121221084MEDICAIDIOWA
131992162911MEDICAIDNORTH CAROLINA
14200711680AMEDICAIDOKLAHOMA
15201159940AMEDICAIDKANSAS
1605171664MEDICAIDNEW YORK
171992162911MEDICAIDCALIFORNIA
181992162911MEDICAIDIDAHO
19500775991MEDICAIDOREGON
2008724809MEDICAIDMISSISSIPPI
211030817MEDICAIDVERMONT
221033562880001MEDICAIDPENNSYLVANIA
23146619400MEDICAIDWYOMING
241722491MEDICAIDALASKA
252083657MEDICAIDWASHINGTON
26300286100MEDICAIDMARYLAND
27DM1587MEDICAIDSOUTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.