Provider Demographics
NPI:1710383070
Name:BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Other - Org Name:ROSEVILLE HOME THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:1474 STONE POINT DR STE 105
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2885
Mailing Address - Country:US
Mailing Address - Phone:916-771-4111
Mailing Address - Fax:916-771-4138
Practice Address - Street 1:1474 STONE POINT DR STE 105
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2885
Practice Address - Country:US
Practice Address - Phone:916-771-4111
Practice Address - Fax:916-771-4138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-14
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA552788Medicare Oscar/Certification