American Surgical Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AMERICAN SURGICAL MEDICAL SUPPLY INC

Practice address

24735 Redlands Blvd Ste a
Loma Linda, CA 92354-4033

Phone

(866) 611-7205

Fax

(909) 366-5988

NPI assigned

Apr 3, 2019

Last updated

Jan 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Allen Lafayette Newsome III, RTS

Title

Vice Presidnet

Phone

(760) 599-8800

Specialties & licenses 2

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• American Surgical Medical Supply Inc

  dba American Surgical Medical Supply Tustin

  • Customized Equipment (DME)
  • Tustin, CA
  • NPI 1629696166
  NPPES parent name

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1093277485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 EL CAMINO REAL # 105-253",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094100",
            "telephone_number": "760-599-8800",
            "fax_number": "760-599-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24735 REDLANDS BLVD STE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544033",
            "telephone_number": "866-611-7205",
            "fax_number": "909-366-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SURGICAL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "LAFAYETTE",
        "authorized_official_title_or_position": "VICE PRESIDNET",
        "authorized_official_telephone_number": "760-599-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RTS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayymen Yousef Amaar, DO
• Shehla Aman
• Prashila Laxmi Amatya, MD
• Rosbel I. Ambaan, RN
• Rita Amen
• Mohammd Reza Amini, M.D.
• Sanaz Amini, M.D.
• Mojtaba Thomas Aminikharrazi Jr., PA
• Mariam Shanaz Amiri, DPM
• Dante Remington Amodeo, TRAINEE

• Durable Medical Equipment & Medical Supplies in Loma Linda, CA
• Providers in Loma Linda, 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 Jan 6, 2022; 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.