1. Home
  2. Directory
  3. California
  4. El Centro
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile
  7. NPI Record 1760836837

VERIO HEALTHCARE, INC
Complete NPI Record 1760836837
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in El Centro, CA

NPI Status: Active since April 14, 2016

Contact Information

1850 W MAIN ST STE B
EL CENTRO, CA
ZIP 92243
Phone: (800) 611-1106

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 Enumeration Date
  18. Last Update Date
  19. Authorized Official Last Name
  20. Authorized Official First Name
  21. Authorized Official Title or Position
  22. Authorized Official Telephone Number
  23. Healthcare Provider Taxonomy Code 1
  24. Healthcare Provider Primary Taxonomy Switch 1
  25. Healthcare Provider Taxonomy Code 2
  26. Healthcare Provider Primary Taxonomy Switch 2
  27. Healthcare Provider Taxonomy Code 3
  28. Healthcare Provider Primary Taxonomy Switch 3
  29. Healthcare Provider Taxonomy Code 4
  30. Healthcare Provider Primary Taxonomy Switch 4
  31. Is Organization Subpart
  32. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1760836837. 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: 1760836837
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
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Employer Identification Number EIN: UNAVAIL
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
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.
Provider First Line Business Mailing Address: 220 W GERMANTOWN PIKE STE 250
Provider Business Mailing Address City Name: PLYMOUTH MEETING
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: PA
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’’.
Provider Business Mailing Address Postal Code: 194621437
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: 6106306357
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: 1850 W MAIN ST STE B
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: EL CENTRO
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: 922432106
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: 8006111106
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/14/2016
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 8/30/2024
The date that a record was last updated or changed.
Authorized Official Last Name: RUSSALESI
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: WENDY
The first name of the authorized official.
Authorized Official Title or Position: CHIEF COMPLIANCE OFFICER
Authorized Official Telephone Number: 4842469499
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Healthcare Provider Taxonomy Code 1: 332B00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 332BN1400X
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 332BP3500X
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 332BX2000X
Healthcare Provider Primary Taxonomy Switch 4: Y
Is Organization Subpart: N
NPI Certification Date: 8/30/2024