=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831249358
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE MEDICAL, A CALIFORNIA CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2007
-----------------------------------------------------
Last Update Date | 11/29/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4830 BURR ST #B
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93308-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-327-1070
-----------------------------------------------------
Fax | 661-327-1071
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1840 S CENTRAL ST
-----------------------------------------------------
City | VISALIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93277-4418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-741-9005
-----------------------------------------------------
Fax | 559-741-9006
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MATTHEW DUANE KNEELAND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 559-741-9005
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------