SINGLE SOURCE MEDICAL, LLC
NPI 1336473164
Durable Medical Equipment & Medical Supplies in Rancho Cordova, CA

NPI Status: Active since September 26, 2009

Contact Information

2868 PROSPECT PARK DR
SUITE 600
RANCHO CORDOVA, CA
ZIP 95670
Phone: (916) 631-1236
Fax: (916) 636-9787

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About SINGLE SOURCE MEDICAL, LLC

This page provides the complete NPI Profile along with additional information for Single Source Medical, Llc, a provider established in Rancho Cordova, California operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1336473164 assigned on September 2009. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Gregory R Petersen (Managing Member)

NPI
1336473164
Provider Name
SINGLE SOURCE MEDICAL, LLC
Entity Type
Organization
Location Address
2868 PROSPECT PARK DR SUITE 600 RANCHO CORDOVA, CA 95670
Location Phone
(916) 631-1236
Location Fax
(916) 636-9787
Mailing Address
2868 PROSPECT PARK DR SUITE 600 RANCHO CORDOVA, CA 95670
Mailing Phone
(916) 631-1236
Mailing Fax
(916) 636-9787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2009
Last Update Date
09-26-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GREGORY R PETERSEN

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(916) 631-1236

Reviews for SINGLE SOURCE MEDICAL, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336473164
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366876112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 7 + 6 + 1 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1336473164 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639346901DR. FRANCIS JOSE MARIA FELIX M.D.
Individual
Internal Medicine2868 PROSPECT PARK DR SUITE 230
RANCHO CORDOVA, CA 95670
(916) 464-4457
1750423406LASER VISION PARTNERS INC
Organization
Optometrist2868 PROSPECT PARK DR SUITE 150
RANCHO CORDOVA, CA 95670
(916) 635-2320
1851847891THE CATARACT VISION INSTITUTE LLC
Organization
Clinic/Center (Ophthalmologic Surgery)2868 PROSPECT PARK DR SUITE 150
RANCHO CORDOVA, CA 95670
(916) 635-2320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336473164, enumerated in the NPI registry as an "organization" on September 26, 2009

The provider is located at 2868 Prospect Park Dr Suite 600 Rancho Cordova, Ca 95670 and the phone number is (916) 631-1236

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on September 26, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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