M & M Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

55142 Issued in CA

Legal business name

M & M MEDICAL SUPPLIES, INC.

Practice address

180 S Spruce Ave Ste D
South San Francisco, CA 94080-4558

Phone

(650) 758-1320

Fax

(650) 758-1390

NPI assigned

Mar 1, 2011

Organization subpart

No

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

Authorized official

Name

Arkady Masarsky

Title

President

Phone

(650) 758-1320

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1063710986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S SPRUCE AVE STE D",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804558",
            "telephone_number": "650-758-1320",
            "fax_number": "650-758-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S SPRUCE AVE STE D",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804558",
            "telephone_number": "650-758-1320",
            "fax_number": "650-758-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MASARSKY",
        "authorized_official_first_name": "ARKADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-758-1320"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "55142",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowen Lummus
• Manuel Luna, M.D.
• Thomas D. Lupton, MD
• Lawrence B. Lusk, MD
• Jamison Joel Ly, PT
• Kenneth Ma, PHAMACIST
• Anna Marie Maagdenberg, NP
• Michael C. Macavoy, MD
• Madison Macay
• Rafael Macias

• Durable Medical Equipment & Medical Supplies in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.