NPIMap

Organization Active NPI

Allied Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Fontana, CA
National Provider Identifier
1013502848
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALLIED MEDICAL SUPPLY, INC
Practice address
9673 Sierra Ave Ste D
Fontana, CA 92335-2424
Phone
(714) 617-6222
Fax
(714) 617-4176
NPI assigned
Mar 3, 2021
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLIED MEDICAL SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Livia De Los RiosNPI 1407936891
Title
President/Ceo
Phone
(714) 617-4622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

9673 Sierra Ave Ste D
Fontana, CA 92335-2424

Mailing address

170 El Camino Real Ste 101
Tustin, CA 92780-3658
Phone (714) 617-4622

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steve@alliedmedical.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Allied Medical Supply Inc3 organizations share this tax ID, including this one
Part of
Allied Medical Supply Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9673 Sierra Ave
Ste D
Fontana, CA 92335
Phone (714) 617-6222

170 El Camino Real
Ste 101
Tustin, CA 92780
Phone (714) 617-4622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1013502848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 EL CAMINO REAL STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803658",
            "telephone_number": "714-617-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9673 SIERRA AVE STE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923352424",
            "telephone_number": "714-617-6222",
            "fax_number": "714-617-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MEDICAL SUPPLY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIED MEDICAL SUPPLY, INC.",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "DE LOS RIOS",
        "authorized_official_first_name": "LIVIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-617-4622"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steve@alliedmedical.net",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct email",
            "address_1": "170 El Camino Real Ste 101",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927803658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.