Provider Demographics
NPI:1578986220
Name:ACCESS MEDICAL, INC.
Entity Type:Organization
Organization Name:ACCESS MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BLAINE
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:ATP/SMS, CRTS
Authorized Official - Phone:760-929-2828
Mailing Address - Street 1:3266 GREY HAWK CT
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-6651
Mailing Address - Country:US
Mailing Address - Phone:760-929-2828
Mailing Address - Fax:866-533-3030
Practice Address - Street 1:1525 W CHAPMAN AVE STE B
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2746
Practice Address - Country:US
Practice Address - Phone:714-988-2474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS MEDICAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-31
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72620332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5702770003Medicare NSC