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ELOISE CATHERINE THACKER C70773
NPI 1730914458
Durable Medical Equipment & Medical Supplies in San Bernardino, CA

Active since September 03, 2024
355 E 21ST ST, SAN BERNARDINO, CA 92404(909) 882-0193(909) 883-4834 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eloise Catherine Thacker C70773 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELOISE CATHERINE THACKER C70773 (NPI 1730914458) is an individual durable medical equipment & medical supplies provider in San Bernardino, California, licensed in California (C70773) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1730914458
Entity TypeIndividualFemale
Primary Taxonomy332B00000X
Provider Legal NameELOISE CATHERINE THACKERCredential: C70773
Location Address355 E 21ST STSan Bernardino, CA 92404-4824
Mailing Address355 E 21st St Ste JSan Bernardino, CA 92404-4851 · (909) 882-0193 · Fax (909) 883-4834
Phone(909) 882-0193
Fax(909) 883-4834
Sole ProprietorYes
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1730914458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · C70773
Definition
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.
355 E 21ST ST, San Bernardino, CA 92404
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON SESSIONS BEST PA-C
Physician Assistant
355 E 21ST ST, SUITE H
SAN BERNARDINO, CA 92404
San Bernardino County (909) 886-2609
DR. MARVIN FONG PHARM D
Pharmacist
355 E 21ST ST
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-3719
PHILIP CHAOTSAI CHIEN M.D.
Pediatrics
355 E 21ST ST, SUITE L
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-1721
EMILY RUTH BRADFORD-LEWIS FNP
Nurse Practitioner (Family)
355 E 21ST ST, STE H
SAN BERNARDINO, CA 92404
San Bernardino County (909) 886-2609
PHARMACY SERVICE INC
Pharmacy (Community/Retail Pharmacy)
355 E 21ST ST
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-3719
MRS. JO EVELYN FLANAGAN
Durable Medical Equipment & Medical Supplies
355 E 21ST ST, SUITE J
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-0193
DR. SHELDON DALE BORSON JR. PHARMD
Pharmacist
355 E 21ST ST
SAN BERNARDINO, CA 92404
San Bernardino County (760) 797-5038
JENG REN WU M.D.
Family Medicine
355 E 21ST ST, SUITE G
SAN BERNARDINO, CA 92404
San Bernardino County (909) 886-8618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eloise Thacker's NPI number?

The NPI number for Eloise Thacker is 1730914458. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Eloise Thacker located?

Eloise Thacker practices at 355 E 21st St, San Bernardino, CA 92404. The listed phone number is (909) 882-0193.

What is Eloise Thacker's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Eloise Thacker was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.