Organization Active NPI

Medprime Revenue LLC

  • Customized Equipment (DME)
  • Stockton, CA
National Provider Identifier
1104725712
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MEDPRIME REVENUE LLC
Practice address
1331 Princess Dr
Stockton, CA 95209-1926
Phone
(201) 479-1498
Fax
(201) 479-1498
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Akashdeep Singh
Title
Owner
Phone
(201) 479-1498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1331 Princess Dr
Stockton, CA 95209-1926

Mailing address

1331 Princess Dr
Stockton, CA 95209-1926
Phone (201) 479-1498

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1104725712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 PRINCESS DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091926",
            "telephone_number": "201-479-1498",
            "fax_number": "201-479-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 PRINCESS DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091926",
            "telephone_number": "201-479-1498",
            "fax_number": "201-479-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRIME REVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "AKASHDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-479-1498"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.