OCOTILLO HOME MEDICAL (OCOTILLO PHARMACY, INC.) NPI 1023298049

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies) in El Centro, CA

NPI 1023298049 Organization Durable Medical Equipment & Medical Supp... Oxygen Equipment & Supplies

About OCOTILLO HOME MEDICAL (OCOTILLO PHARMACY, INC.)

Ocotillo Home Medical (ocotillo Pharmacy, Inc.) is a provider established in El Centro, California specializing in durable medical equipment & medical supplies (oxygen equipment & supplies) . The NPI number of Ocotillo Home Medical (ocotillo Pharmacy, Inc.) is 1023298049 and was assigned on November 2007. The practitioner's primary taxonomy code is 332BX2000X with license number 45285 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Ocotillo Home Medical. The authorized official of this NPI record is Gregory Gelman Rph (Owner/president)

NPI

1023298049

Provider NameOCOTILLO HOME MEDICAL (OCOTILLO PHARMACY, INC.)
Provider Location Address1501 OCOTILLO DR STE B EL CENTRO, CA 92243
Provider Mailing AddressPO BOX 2100 EL CENTRO, CA 92244
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameOCOTILLO HOME MEDICAL
Other Name TypeDoing Business As (3)
Enumeration Date11-07-2007
Last Update Date01-07-2010


Primary Taxonomy

Taxonomy Code332BX2000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
SpecializationOxygen Equipment & Supplies
License No.45285
License StateCA

Business Address

OCOTILLO HOME MEDICAL
1501 OCOTILLO DR STE B
EL CENTRO, CA
ZIP 92243
Phone: (760) 352-7100
Fax: (760) 337-5979

Get Directions


Mailing Address

OCOTILLO HOME MEDICAL
PO BOX 2100
EL CENTRO, CA
ZIP 92244
Phone: (760) 352-7100
Fax: (760) 337-5979



Authorized Official

Authorized Official Name GREGORY GELMAN RPH
Authorized Official TitleOWNER/PRESIDENT
Authorized Official Phone(760) 554-6940

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical Supplies45285CANo

Taxonomy Description: 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.

2332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition45285CANo

Taxonomy Description: Not Available

3335E00000XSuppliersProsthetic/Orthotic SupplierNo

Taxonomy Description: an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
45285OTHER (01)CA
0447810001MEDICARE NSC (07)CA
0447810001OTHER (01)CA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912371188 BRANDON J PHELPS DPT
Individual
Physical Therapist1501 OCOTILLO DR STE B
EL CENTRO, CA 92243
(760) 679-0210

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.