Organization Active NPI

Interactive Medical Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Cypress, CA
National Provider Identifier
1053412049
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTERACTIVE MEDICAL SYSTEMS, INC.
Practice address
11105 Knott Ave Ste a
Cypress, CA 90630-5137
Phone
(714) 894-5029
Fax
(310) 227-8229
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Ms. Lynette Powell
Title
Manager
Phone
(714) 894-5029

Specialties & licenses 1

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

Addresses

Primary practice location

11105 Knott Ave Ste a
Cypress, CA 90630-5137

Mailing address

11105 Knott Ave Ste a
Cypress, CA 90630-5137
Phone (714) 894-5029

Other identifiers 2

IdentifierTypeStateIssuer
1053412049OtherCAMEDI-CAL
1841381175MedicaidWA

National Provider Directory

National Provider Directory

Locations

12882 Valley View St
Ste 9
Garden Grove, CA 92845
Phone (714) 894-5029

12882 Valley View St
Ste 8
Garden Grove, CA 92845
Phone (714) 894-5029

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1053412049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 KNOTT AVE STE A",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305137",
            "telephone_number": "714-894-5029",
            "fax_number": "310-227-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11105 KNOTT AVE STE A",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305137",
            "telephone_number": "714-894-5029",
            "fax_number": "310-227-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE MEDICAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-894-5029",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1053412049",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841381175",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.