Organization Active NPI

Blue Bridge DME Supplier LLC

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1124935275
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 31, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.