1. Home
  2. Directory
  3. California
  4. Hawthorne
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile
  7. NPI Record 1497376156

PERFORMANCE MASTERY CONSULTING, INC.
Complete NPI Record 1497376156
Durable Medical Equipment & Medical Supplies in Hawthorne, CA

NPI Status: Active since May 04, 2020

Contact Information

3711 W 145TH ST
HAWTHORNE, CA
ZIP 90250
Phone: (310) 910-4347
Fax: (212) 500-7992

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Business Practice Location Address Fax Number
  18. Provider Enumeration Date
  19. Last Update Date
  20. Authorized Official Last Name
  21. Authorized Official First Name
  22. Authorized Official Middle Name
  23. Authorized Official Title or Position
  24. Authorized Official Telephone Number
  25. Healthcare Provider Taxonomy Code 1
  26. Healthcare Provider Primary Taxonomy Switch 1
  27. Healthcare Provider Taxonomy Code 2
  28. Healthcare Provider Primary Taxonomy Switch 2
  29. Is Organization Subpart
  30. Authorized Official Credential Text
  31. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1497376156. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1497376156
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
The city name in the mailing address of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider First Line Business Mailing Address: 3711 W 145TH ST
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address City Name: HAWTHORNE
The first line 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 Business Mailing Address State Name: CA
The city name in the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 902508452
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 3109104347
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 3711 W 145TH ST
The first line 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 Business Practice Location Address City Name: HAWTHORNE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 902508452
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3109104347
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 2125007992
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/4/2020
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 5/8/2020
The date that a record was last updated or changed.
Authorized Official Last Name: POSTNIKOFF
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: PEGGY
The first name of the authorized official.
Authorized Official Middle Name: SUSAN
The middle name of the authorized official.
Authorized Official Title or Position: COO
The title or position of the authorized official.
Authorized Official Telephone Number: 3109104347
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 335E00000X
The 10-position telephone number of the authorized official.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 332B00000X
Healthcare Provider Primary Taxonomy Switch 2: Y
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Is Organization Subpart: N
Authorized Official Credential Text: B.S.P.E.
NPI Certification Date: 5/8/2020