Medical Supplies Ihp

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

57836 Issued in CA

Legal business name

MEDICAL SUPPLIES IHP

Practice address

530 New Los Angeles Ave
Ste 117
Moorpark, CA 93021-2081

Phone

(805) 517-2995

Fax

(805) 517-1237

NPI assigned

Aug 26, 2013

Last updated

Aug 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Quiroz, MBA

Title

Owner

Phone

(805) 517-2995

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

MD Medical Home Healthcare Supply LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Supplies Ihp, Inc

  • Durable Medical Equipment & Medical Supplies
  • Moorpark, CA
  • NPI 1467621615
  NPD tax ID

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1154755148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NEW LOS ANGELES AVE",
            "address_2": "STE 117",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212081",
            "telephone_number": "805-517-2995",
            "fax_number": "805-517-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW LOS ANGELES AVE",
            "address_2": "STE 117",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212081",
            "telephone_number": "805-517-2995",
            "fax_number": "805-517-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLIES IHP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-517-2995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "57836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR EXEMPTEE LICENSE",
            "identifier": "23019",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDRL",
            "identifier": "57836",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Levi Martin
• Bianca Nicole Martinez, LMFT
• Roeya Mazdaei, DDS
• Collin McDonell
• Medical Experts Home Health LLC
• Medical Supplies Ihp, Inc
• Cherisse Meichtry, MS, ATC, PES
• Anthony Mendoza
• Megan Elise Meredith
• Dianne Marie Meyer-Sasada, M.S.,MFT

• Parenteral & Enteral Nutrition Supplies (DME) in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.