Healthcare Provider Details

I. General information

NPI: 1710250378
Provider Name (Legal Business Name): CARE MEDICAL, A CALIFORNIA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2012
Last Update Date: 02/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 E OCEAN AVE
LOMPOC CA
93436-7020
US

IV. Provider business mailing address

1840 S CENTRAL ST
VISALIA CA
93277-4418
US

V. Phone/Fax

Practice location:
  • Phone: 805-735-7766
  • Fax: 805-735-6986
Mailing address:
  • Phone: 559-741-9005
  • Fax: 559-741-9006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. MATTHEW D KNEELAND
Title or Position: PRESIDENT
Credential:
Phone: 559-741-9005