NPI Code Detail JSON Logo

1073750949 NPI number — SUPERIOR MED SURGICAL, INC.

NPI Number: 1073750949
Health Care Provider/Practitioner: SUPERIOR MED SURGICAL, INC.

Information about “1073750949” NPI (SUPERIOR MED SURGICAL, INC.) exists in 1073750949 in HTML format HTML  |  1073750949 in plain Text format TXT  |  1073750949 in PDF (Portable Document Format) PDF  |  1073750949 in an XML format XML  formats.

NPI Number : 1073750949 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073750949",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUPERIOR MED SURGICAL, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1030 N MOUNTAIN AVE",
    "SecondLineMailingAddress": "#201",
    "MailingAddressCityName": "ONTARIO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91762",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-980-0065",
    "MailingAddressFaxNumber": "909-980-0303",
    "FirstLinePracticeLocationAddress": "9445 FAIRWAY VIEW PL.",
    "SecondLinePracticeLocationAddress": "#100",
    "PracticeLocationAddressCityName": "RANCHO CUCAMONGA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91730",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-980-0065",
    "PracticeLocationAddressFaxNumber": "909-980-0303",
    "EnumerationDate": "01/14/2009",
    "LastUpdateDate": "06/01/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AMORANTO",
    "AuthorizedOfficialFirstName": "CARMELITA",
    "AuthorizedOfficialMiddleName": "S.",
    "AuthorizedOfficialTitle": "OPERATION MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "909-980-0065",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "N/A",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "HMDR LICENSE # 51915",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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