REBEL DISTRIBUTION CORP (NPI# 1023029535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023029535 |
| Entity Type | Organization |
| Organization Name | REBEL DISTRIBUTION CORP |
| Other Organization Name | PHYSICIAN PARTNER |
| Practice Address |
3607 Old Conejo Rd Thousand Oaks CA 91320-2123 |
| Practice Telephone | 8053750800 |
| Practice Fax Number | 8053750885 |
| Mailing Telephone | 8053750800 |
| Mailing Fax Number | 8053750885 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | DESTRY SETSER (EXEC VP) |
| Authorized Official Telephone | 8053750800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | WLS3004 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5623029 | 01 |
| Other Name | Type Code |
|---|---|
| PHYSICIAN PARTNER | Doing Business As Name - Organization |
| Street Address |
3607 OLD CONEJO RD |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91320-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366657488 | Rebel Distributors | Durable Medical Equipment & Medical Supplies | 3607 Old Conejo Rd, Thousand Oaks, CA 91320-2123 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881924579 | Quality Senior Caregivers | Durable Medical Equipment & Medical Supplies | 843 Masterson Dr, Thousand Oaks, CA 91360 | 2010-01-03 |
| 1659608545 | Carrier United, Inc. | Durable Medical Equipment & Medical Supplies | 704 E Thousand Oaks Blvd, Thousand Oaks, CA 91360-6053 | 2009-11-12 |
| 1023247525 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 550 N Ventu Park Rd., Thousand Oaks, CA 91320 | 2009-07-07 |
| 1780810564 | Physicians Choice Medical, Inc | Durable Medical Equipment & Medical Supplies | 1489 E Thousand Oaks Blvd Ste E, Thousand Oaks, CA 91362-6212 | 2009-06-07 |
| 1346420288 | Vogue Prosthetic Orthotic Center, Inc | Durable Medical Equipment & Medical Supplies | 101 Hodencamp Rd Ste 107, Thousand Oaks, CA 91360-5831 | 2007-11-08 |
| 1114029626 | Lindas Specialty Shop Inc | Durable Medical Equipment & Medical Supplies | 1321 E Thousand Oaks Blvd, Suite 122, Thousand Oaks, CA 91362-2821 | 2006-09-04 |
| 1043329410 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 205 North Moorpark Road, Suite D, Thousand Oaks, CA 91360-4353 | 2006-08-30 |
| 1154430569 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 3825 East Thousand Oaks Boulevard, Westlake Hills Plaza, Thousand Oaks, CA 91362-3639 | 2006-08-30 |
| 1174632608 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 387 East Avenida De Los Arboles, Los Arboles Shopping Center, Thousand Oaks, CA 91360-2933 | 2006-08-29 |
| 1114956141 | Vons Companies Inc | Durable Medical Equipment & Medical Supplies | 1790 N Moorpark Rd, Thousand Oaks, CA 91360-5133 | 2006-07-02 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91320 |
Please comment or provide details below to improve the information on REBEL DISTRIBUTION CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.