ECMO PRN LLC (NPI# 1912537770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912537770 |
| Entity Type | Organization |
| Organization Name | ECMO PRN LLC |
| Practice Address |
1246 Mission Rd South San Francisco CA 94080-1212 |
| Practice Telephone | 5102740789 |
| Mailing Telephone | 5102740789 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MR. JASON CHAN (CEO) |
| Authorized Official Telephone | 5102740789 |
| Authorized Official Credential | RN, MSN, CCRN-K |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers | ||
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
Nursing Service Providers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Other Name | Type Code |
|---|---|
| ECMO PRN LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ECMO PRN LLC | 1246 Mission Rd, South San Francisco, CA 94080-1212 |
| Street Address |
1246 MISSION RD |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1154933588 | Iwalk Free, Inc. | Durable Medical Equipment & Medical Supplies | 130 N Marina Dr, Long Beach, CA 90803-4601 | 2020-08-18 |
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| 1629696166 | American Surgical Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 17581 Irvine Blvd Ste 116, Tustin, CA 92780-3123 | 2020-07-10 |
| 1942828694 | Cencal Medical, Inc. | Durable Medical Equipment & Medical Supplies | 220 S Akers St Ste C, Visalia, CA 93291-5185 | 2020-07-09 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1225659873 | I2b Networks, Inc | Durable Medical Equipment & Medical Supplies | 8830 Complex Dr, San Diego, CA 92123-1404 | 2020-05-05 |
| 1811522592 | Precision Patient Outcomes, Inc. | Durable Medical Equipment & Medical Supplies | 808 Gilman St, Berkeley, CA 94710-1422 | 2020-03-03 |
| 1114551843 | Rac & Associates, Inc | Durable Medical Equipment & Medical Supplies | 42389 Winchester Rd, Temecula, CA 92590-4851 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
Please comment or provide details below to improve the information on ECMO PRN LLC.
| 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.