BROADWAY MEDICAL SERVICE & SUPPLY, INC (NPI# 1548548688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548548688 |
| Entity Type | Organization |
| Organization Name | BROADWAY MEDICAL SERVICE & SUPPLY, INC |
| Practice Address |
123 Commerce Cir Suite B Sacramento CA 95815-4201 |
| Mailing Address |
1034 Broadway Eureka CA 95501-0126 |
| Practice Telephone | 9169274047 |
| Practice Fax Number | 9169275383 |
| Mailing Telephone | 7074423719 |
| Mailing Fax Number | 7074420237 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | MR. RONALD ALLAN BIASCA (PRESIDENT) |
| Authorized Official Telephone | 7074423719 |
| Is Organization Subpart | Y |
| Parent Organization Name | DARR-B CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1548548688 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457402497 | Broadway Medical Service & Supply, Inc | Durable Medical Equipment & Medical Supplies | 1034 Broadway St, Eureka, CA 95501-0126 | 2007-01-16 |
| 1851583538 | Broadway Medical Service & Supply, Inc | Durable Medical Equipment & Medical Supplies | 899 Main St, Fortuna, CA 95540-1925 | 2007-08-15 |
| Street Address |
123 COMMERCE CIR SUITE B |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780946863 | Andrea Marie Ewert | Durable Medical Equipment & Medical Supplies | 4049 N Freeway Blvd, Sacramento, CA 95834-1253 | 2012-06-13 |
| 1023389293 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 1164 National Dr Ste 10, Sacramento, CA 95834-1925 | 2012-01-20 |
| 1225193394 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 1166 National Dr, Ste 30, Sacramento, CA 95834 | 2006-12-27 |
| 1629183090 | Sutter Visiting Nurse Association and Hospice | Durable Medical Equipment & Medical Supplies | 8322 Ferguson Ave, Sacramento, CA 95828-0902 | 2006-08-19 |
| 1497869739 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 4247 S Market Ct, Suite H, Sacramento, CA 95834-1229 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967259 | Tarlani Corp. | Durable Medical Equipment & Medical Supplies | 315 Arden Ave Ste 4, Glendale, CA 91203-1165 | 2020-09-17 |
| 1649803545 | Martha Ortega | Durable Medical Equipment & Medical Supplies | 3888 Sage Hill Pl, Santa Rosa, CA 95404-7696 | 2020-02-19 |
| 1568094001 | Bans Healthcare Group, Inc. | Durable Medical Equipment & Medical Supplies | 31133 Via Colinas Ste 103, Westlake Village, CA 91362-4519 | 2020-02-11 |
| 1992343867 | Oxygen Services Southwest LLC | Durable Medical Equipment & Medical Supplies | 13396 Contour Dr, Sherman Oaks, CA 91423-4802 | 2019-12-11 |
| 1538702568 | Can-al Medical Supplies | Durable Medical Equipment & Medical Supplies | 6650 Fair Oaks Blvd, Carmichael, CA 95608-4026 | 2019-10-22 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326607011 | Herocare LLC | Durable Medical Equipment & Medical Supplies | 12598 Central Ave Ste 109, Chino, CA 91710-3500 | 2019-06-06 |
| 1205300050 | Expedite LLC | Durable Medical Equipment & Medical Supplies | 8910 University Center Ln Ste 400, San Diego, CA 92122-1025 | 2019-01-15 |
| 1073093746 | Sgr Medical Solutions L.L.C. | Durable Medical Equipment & Medical Supplies | 2717 Cabernet Way, Rancho Cordova, CA 95670-4811 | 2018-08-21 |
| 1134607120 | Pulmonic Health, LLC | Durable Medical Equipment & Medical Supplies | 402 W Bedford Ave Ste 103, Fresno, CA 93711-6884 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
Please comment or provide details below to improve the information on BROADWAY MEDICAL SERVICE & SUPPLY, INC.
| 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.