Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ice20 - Triad Sports Group, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1285964932

Ice20 - Triad Sports Group, LLC is a Durable Medical Equipment & Medical Supplies in Camarillo, California. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4690 Calle Quetzal
Camarillo, CA 93012-8558
Phone: (805) 857-4172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1285964932
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTriad Sports Group, LLC
Authorized official Brad Smith — Division President · (805) 857-4172
NPI enumeratedDecember 31, 2009
Last updated in NPPESOctober 7, 2014
Mailing address4690 Calle Quetzal, Camarillo, CA 93012-8558

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