Provider Demographics
NPI:1831249358
Name:CARE MEDICAL, A CALIFORNIA CORPORATION
Entity type:Organization
Organization Name:CARE MEDICAL, A CALIFORNIA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:KNEELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-741-9005
Mailing Address - Street 1:1840 S CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4418
Mailing Address - Country:US
Mailing Address - Phone:559-741-9005
Mailing Address - Fax:559-741-9006
Practice Address - Street 1:4830 BURR ST
Practice Address - Street 2:#B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-0001
Practice Address - Country:US
Practice Address - Phone:661-327-1070
Practice Address - Fax:661-327-1071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03126FMedicaid
CA4417480002Medicare ID - Type UnspecifiedBAKERSFIELD BRANCH