Active NPI
Blue Bridge DME Supplier LLC
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1124935275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BLUE BRIDGE DME SUPPLIER LLC
- Practice address
- 11206 La Salle Ave
Los Angeles, CA 90047-4841 - Phone
- (631) 784-3569
- NPI assigned
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darius Aaron Cox
- Title
- Owner
- Phone
- (631) 784-3569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
11206 La Salle Ave
Los Angeles, CA 90047-4841
Mailing address
11206 La Salle Ave
Los Angeles, CA 90047-4841
Phone (631) 784-3569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1124935275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11206 LA SALLE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900474841",
"telephone_number": "631-784-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11206 LA SALLE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900474841",
"telephone_number": "631-784-3569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE BRIDGE DME SUPPLIER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "DARIUS",
"authorized_official_middle_name": "AARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-784-3569",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.