Ice20 - Triad Sports Group, LLC
NPI 1285964932 · Durable Medical Equipment & Medical Supplies · Camarillo, CA
Ice20 - Triad Sports Group, LLC is a Durable Medical Equipment & Medical Supplies organization in Camarillo, CA (NPI 1285964932).
Provider details
- NPI number
- 1285964932
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Triad Sports Group, LLC
- Organization subpart
- Yes
- Authorized official
- Brad Smith, Division President(805) 857-4172
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-12-31
- Last updated
- 2014-10-07
Frequently asked questions
- What is Ice20 - Triad Sports Group, LLC's NPI number?
- Ice20 - Triad Sports Group, LLC's National Provider Identifier (NPI) is 1285964932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ice20 - Triad Sports Group, LLC?
- Ice20 - Triad Sports Group, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Ice20 - Triad Sports Group, LLC located?
- Ice20 - Triad Sports Group, LLC's practice location on file with NPPES is 4690 Calle Quetzal, Camarillo, CA 93012-8558.
- What is Ice20 - Triad Sports Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ice20 - Triad Sports Group, LLC is (805) 857-4172.
- Who is the authorized official for Ice20 - Triad Sports Group, LLC?
- The authorized official listed on Ice20 - Triad Sports Group, LLC's NPPES record is Brad Smith, Division President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ice20 - Triad Sports Group, LLC's NPI active?
- Yes — Ice20 - Triad Sports Group, LLC's NPI (1285964932) is active in the NPPES registry as of the last update on 2014-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.