Core Promed Supplies
Organization Active NPI Durable Medical Equipment & Medical Supplies · Newhall, CA
NPI 1154042950 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1154042950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CORE PROMED SUPPLIES
- Practice address
- 23550 Lyons Ave Ste 117
Newhall, CA 91321-2569 - Phone
- (661) 383-7136
- Fax
- (818) 356-4380
- NPI assigned
- Sep 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Valeriya Zhilko
- Title
- President & Ceo
- Phone
- (661) 383-7136
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Core Promed Supplies |
Ostomy Supplies|Urological Supplies|Surgical Dressings | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230309002003 | CA | DME Supplier - Medical Supply Company |
5092188292 | Practice locations: Newhall, CA |
National Provider Directory
Locations
23550 Lyons Ave
Ste 117
Newhall, CA 91321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
23550 Lyons Ave Ste 117
Newhall, CA 91321-2569
Mailing address
23550 Lyons Ave Ste 117
Newhall, CA 91321-2569
Phone (661) 383-7136
Other providers in Newhall, CA
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- Joshua Adam Corben
- Michael A Corben
- Krystal Nicole Cortes
- Cosgrove F.a.S.T. Systems Inc.
- Sara M Cote
- Amanda Marie Cowan
- Donald Ray Cowell
All providers in Newhall, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.