Organization Active NPI

Rene Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • La Habra, CA
National Provider Identifier
1033914338
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RENE MEDICAL SUPPLY LLC
Practice address
860 E la Habra Blvd Ste 180
La Habra, CA 90631-0817
Phone
(469) 915-5044
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Noman Qasim Brohi
Title
Manager
Phone
(469) 915-5044

Specialties & licenses 1

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

Addresses

Primary practice location

860 E la Habra Blvd Ste 180
La Habra, CA 90631-0817

Mailing address

860 E la Habra Blvd Ste 180
La Habra, CA 90631-0817
Phone (469) 915-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001000535 CA DME Supplier - Medical Supply Company 9335645100 Practice locations: La Habra, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rene Medical Supply LLC860 E la Habra Blvd, La Habra, CA 90631-0817(562) 448-0096 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jul 21, 2025

National Provider Directory

National Provider Directory

Locations

860 E La Habra Blvd
Ste 180
La Habra, CA 90631
Phone (562) 448-0096

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1033914338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E LA HABRA BLVD STE 180",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310817",
            "telephone_number": "469-915-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E LA HABRA BLVD STE 180",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310817",
            "telephone_number": "469-915-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BROHI",
        "authorized_official_first_name": "NOMAN",
        "authorized_official_middle_name": "QASIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-915-5044"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.