LIVERMORE MEDICAL SUPPLY (NPI# 1689611063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689611063 |
| Entity Type | Organization |
| Organization Name | LIVERMORE MEDICAL SUPPLY |
| Other Organization Name | LIVE-MORE MEDICAL SUPPLIES |
| Practice Address |
4555 N Pershing Ave Suite 24 Stockton CA 95207-6740 |
| Practice Telephone | 2094750979 |
| Practice Fax Number | 2094720505 |
| Mailing Telephone | 2094750979 |
| Mailing Fax Number | 2094720505 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-11-23 |
| Authorized Official Name | STUART E ROTHROCK (OWNER) |
| Authorized Official Telephone | 2094750979 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Live-More Medical Supplies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689612053 | Livermore Medical Supply | Durable Medical Equipment & Medical Supplies | 1108 E Stanley Blvd, Livermore, CA 94550-4156 | 2006-06-04 |
| 1467499707 | Livermore Medical Supply | Durable Medical Equipment & Medical Supplies | 1721 Prescott Rd, Modesto, CA 95350-2543 | 2006-06-02 |
| Street Address |
4555 N PERSHING AVE SUITE 24 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306939749 | Bunnaun Uch | Pharmacy | 4555 N Pershing Ave, Ste 7, Stockton, CA 95207-6740 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1841801081 | Telegenx, LLC | Durable Medical Equipment & Medical Supplies | 127 S Locust St, Stockton, CA 95205 | 2020-08-12 |
| 1396360194 | Coast To Coast Dme | Durable Medical Equipment & Medical Supplies | 1755 W Hammer Ln Ste 2, Stockton, CA 95209-2900 | 2020-06-08 |
| 1871134940 | Care Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1325 N Center St Ste 1a, Stockton, CA 95202-1020 | 2019-09-30 |
| 1922575059 | Naju Dah Dme Medical Corporation | Durable Medical Equipment & Medical Supplies | 2800 N California St Ste 17, Stockton, CA 95204-3759 | 2018-10-26 |
| 1649526682 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2040 E Mariposa Rd, Stockton, CA 95205-7736 | 2012-07-27 |
| 1023373495 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1189 E March Ln, Stockton, CA 95210-3545 | 2012-07-11 |
| 1770842940 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 10355 Trinity Pkwy, Stockton, CA 95219-7243 | 2012-05-09 |
| 1568737161 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 1521 S 3rd Street, Stockton, MO 65785-9608 | 2012-03-14 |
| 1184851578 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 4774 West Lane, Stockton, CA 95210-0000 | 2009-06-12 |
| 1023271822 | Active Life Medical Products Inc | Durable Medical Equipment & Medical Supplies | 4217 Coronado Ave, Suite D, Stockton, CA 95204-2335 | 2008-07-02 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on LIVERMORE MEDICAL SUPPLY.
| 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.