Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIM BACANI
Active Sole ProprietorDurable Medical Equipment & Medical Supplies · STANTON, CA
Registration Details
- NPI Number
- 1053805341
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2018 (7.8380514345443 yrs)
- Last Updated
- Aug 30, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
10865 BEACH BLVDSTANTON, CA, 906803053Browse CA providers · Browse ZIP 90680
- Phone
- 6268070401
- Fax
- 7143334980
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
- Additional Specialty
- Customized Equipment (DME)
- Additional Specialty
- Home Health
- Additional Specialty
- Dialysis Equipment & Supplies (DME)
- Additional Specialty
- Nursing Facility Supplies (DME)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.