# JT MEDICAL SUPPLY CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** JT Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063443943
- **Authorized official:** MR. MARK RECIO PARINAS RN, PHN (GENERAL MANAGER)
- **Authorized official phone:** (510) 300-1336

## Contact information

- **Practice address:** 20980 REDWOOD RD, SUITE 260, CASTRO VALLEY, CA 94546-5930
- **Practice address phone:** (510) 300-1330
- **Practice address fax:** (510) 300-1336
- **Mailing address:** 20980 REDWOOD RD, SUITE 260, CASTRO VALLEY, CA 94546-5930
- **Mailing address phone:** (510) 300-1330
- **Mailing address fax:** (510) 300-1336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45340 | CA | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 06/25/2009