COAST TO COAST DME (NPI# 1396360194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396360194 |
| Entity Type | Organization |
| Organization Name | COAST TO COAST DME |
| Practice Address |
1755 W Hammer Ln Ste 2 Stockton CA 95209-2900 |
| Mailing Address |
3355 N White Ave Unit 7310 La Verne CA 91750-6161 |
| Practice Telephone | 8008699203 |
| Mailing Telephone | 9092233314 |
| Mailing Fax Number | 9095920738 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | CHRISTOPHER OTIKO (CEO) |
| Authorized Official Telephone | 8188362475 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1755 W HAMMER LN STE 2 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
| Find all providers in zip 95209 | ||||
| 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 |
| 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 |
| 1366609091 | Onisha Perry | Durable Medical Equipment & Medical Supplies | 1330 W Fremont St, Suite 1, Stockton, CA 95203-2636 | 2008-05-20 |
| Find all providers in STOCKTON | ||||
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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.