{"npi":"1356334577","type":"NPI-2","status":"active","name":{"display":"Minimed Distribution Corp.","other":[],"organization_name":"MINIMED DISTRIBUTION CORP.","authorised_official":"Que Dallara"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"CA","license":"101284"}]},"addresses":[{"purpose":"LOCATION","street_1":"18000 DEVONSHIRE ST","city":"NORTHRIDGE","state":"CA","postal_code":"913251219","country_code":"US","street_2":"ATTN: LEGAL DEPT.","phone":"8009333322","fax":"8185766228"},{"purpose":"MAILING","street_1":"18000 DEVONSHIRE ST","city":"NORTHRIDGE","state":"CA","postal_code":"913251219","country_code":"US","street_2":"ATTN: MANAGED MARKETS","phone":"8006464633","fax":"8187394843"}],"license":{"state":"CA","number":"101284"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930066352","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"CA","pac_id":"7911028303"}]},"enumeration_date":"2005-08-23","last_updated":"2023-03-27","_meta":{"source":"NPPES","snapshot_date":"2023-03-27","doc_url":"https://findmynpi.com/api"}}