CUSTOM REHAB BRACING AND MEDICAL SUPPLY,LLC (NPI# 1932424405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932424405 |
| Entity Type | Organization |
| Organization Name | CUSTOM REHAB BRACING AND MEDICAL SUPPLY,LLC |
| Practice Address |
721 River Park Dr San Jose CA 95111-1552 |
| Practice Telephone | 4086600120 |
| Practice Fax Number | 4083339632 |
| Mailing Telephone | 4086600120 |
| Mailing Fax Number | 4083339632 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | MR. ARCADIO RODRIGUEZ RODRIGUEZ (OWNER) |
| Authorized Official Telephone | 4086600120 |
| Authorized Official Credential | O.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 101-555617 | CA | Suppliers |
| Street Address |
721 RIVER PARK DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667413 | Aldo Hernandez | Community Health Worker | 488 Skyway Dr, San Jose, CA 95111 | 2017-02-07 |
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1679894604 | Julie Chi | Counselor | 581 Coyote Road, San Jose, CA 95111 | 2010-06-14 |
| 1720278179 | Mv Transportation | Non-emergency Medical Transport (VAN) | 555 Tully Road, Mv Transportation, San Jose, CA 95111 | 2007-07-31 |
| 1437355948 | Anthony Cozzolino | Psychiatry & Neurology | 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 | 2007-06-22 |
| 1750403515 | Karen Pham | Dentist | 4074 Monterey Road, San Jose, CA 95111 | 2007-04-04 |
| 1376697847 | Mai Anh Le | Dentist | 60 Senter Rd, San Jose, CA 95111 | 2007-01-22 |
| 1649335852 | Bui and Enriquez Dental Corporation | Dentist | 485 Lewis Rd, Suite A, San Jose, CA 95111 | 2006-12-27 |
| 1619031903 | Huyen Thu Nguyen | Pharmacist | 796 Apple Terrace, San Jose, CA 95111 | 2006-12-20 |
| 1285720342 | Lily Khanh-linh Thi Nguyen | Obstetrics & Gynecology | 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 | 2006-10-05 |
| Find all providers in zip 95111 | ||||
| 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 |
|---|---|---|---|---|
| 1730701665 | Reliance Pro, Inc. | Durable Medical Equipment & Medical Supplies | 3277 S White Rd, San Jose, CA 95148-4056 | 2020-05-14 |
| 1558923904 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 1101 S Winchester Blvd Ste G180, San Jose, CA 95128-3903 | 2019-07-06 |
| 1821561861 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1757 W San Carlos St, San Jose, CA 95128-5222 | 2019-01-02 |
| 1205331642 | Bierley Associates, Inc. | Durable Medical Equipment & Medical Supplies | 19500 Graystone Ln, San Jose, CA 95120-1025 | 2018-03-28 |
| 1275993891 | Chme Inc | Durable Medical Equipment & Medical Supplies | 780 Montague Expy, Suite 704, San Jose, CA 95131-1323 | 2016-02-24 |
| 1962882530 | Happy Life 88 Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 420 S 1st St, San Jose, CA 95113-2815 | 2015-06-08 |
| 1851780886 | Starlinx Usa, Inc. | Durable Medical Equipment & Medical Supplies | 487 Calero Avenue, San Jose, CA 95123-9998 | 2015-01-14 |
| 1467861112 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1450 Monterey Rd, San Jose, CA 95112-6126 | 2014-08-07 |
| 1609293968 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4080 Stevens Creek Blvd, San Jose, CA 95129-1334 | 2014-03-25 |
| 1659711695 | Arash Kouchesfehani | Durable Medical Equipment & Medical Supplies | 178 Noyo Dr, San Jose, CA 95123-3721 | 2013-07-03 |
| Find all providers in SAN JOSE | ||||
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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.