Individual provider Active NPI

Ramon D Riego Jr.

  • Durable Medical Equipment & Medical Supplies
  • Norwalk, CA
National Provider Identifier
1093316192
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
202028910634 Issued in CA
Practice address
12440 Firestone Blvd Ste 1025
Norwalk, CA 90650-4369
Phone
(562) 406-1028
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 202028910634 CA Primary

Addresses

Primary practice location

12440 Firestone Blvd Ste 1025
Norwalk, CA 90650-4369

Mailing address

12371 Lewis St Ste 202
Garden Grove, CA 92840-4688
Phone (657) 667-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202028910634CAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
J & J Medical Supply LLC Durable Medical Equipment & Medical Supplies CurrentSince Oct 30, 2022 Accepting new patients

Locations

12371 Lewis St
Ste 202
Garden Grove, CA 92840
Phone (657) 203-2472

12440 Firestone Blvd
Ste 1025
Norwalk, CA 90650
Phone (562) 406-1028

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1093316192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 LEWIS ST STE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404688",
            "telephone_number": "657-667-0044",
            "fax_number": "657-263-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 1025",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504369",
            "telephone_number": "562-406-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGO",
        "first_name": "RAMON",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "202028910634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.