LIVERMORE MEDICAL SUPPLY (NPI# 1689612053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689612053 |
| Entity Type | Organization |
| Organization Name | LIVERMORE MEDICAL SUPPLY |
| Practice Address |
1108 E Stanley Blvd Livermore CA 94550-4156 |
| Mailing Address |
4555 N Pershing Ave Suite #24 Stockton CA 95207-6740 |
| Practice Telephone | 9253718170 |
| Practice Fax Number | 9253711356 |
| Mailing Telephone | 2094750979 |
| Mailing Fax Number | 4094720505 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467499707 | Livermore Medical Supply | Durable Medical Equipment & Medical Supplies | 1721 Prescott Rd, Modesto, CA 95350-2543 | 2006-06-02 |
| 1689611063 | Livermore Medical Supply | Durable Medical Equipment & Medical Supplies | 4555 N Pershing Ave, Suite 24, Stockton, CA 95207-6740 | 2006-06-02 |
| Street Address |
1108 E STANLEY BLVD |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| 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 |
|---|---|---|---|---|
| 1609359371 | Lumbar Store | Durable Medical Equipment & Medical Supplies | 1452 N Vasco Rd Ste 165, Livermore, CA 94551-9213 | 2018-09-10 |
| 1518326560 | Acticare Health Inc | Durable Medical Equipment & Medical Supplies | 6111 Southfront Rd, Suite M, Livermore, CA 94551-5135 | 2016-02-18 |
| 1851635759 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1620 1st St, Livermore, CA 94550-4363 | 2012-11-15 |
| 1548562432 | Mancini's Sleepworld, Inc | Durable Medical Equipment & Medical Supplies | 599 Hawthorn Pl, Livermore, CA 94550-7190 | 2010-11-26 |
| 1982929600 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 2021 Las Positas Ct Ste 119, Livermore, CA 94551 | 2010-04-06 |
| 1992953673 | Duratec Medical Inc. | Durable Medical Equipment & Medical Supplies | 109 Goldstone Cmn, Livermore, CA 94550-3953 | 2008-09-05 |
| 1912129966 | Dean F. Weinberg, D.c. | Durable Medical Equipment & Medical Supplies | 1642 Holmes St., Bldg. C, Livermore, CA 94550 | 2007-05-02 |
| 1669546545 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 4659 Las Positas Rd, Livermore, CA 94551-8860 | 2006-11-20 |
| 1972695427 | Pooles Pharmacy Care Inc | Durable Medical Equipment & Medical Supplies | 311 Henton St, Livermore, KY 42352-2126 | 2006-09-29 |
| 1902915242 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1350 North Vasco Road, Livermore, CA 94551-9212 | 2006-08-30 |
| Find all providers in LIVERMORE | ||||
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| 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.