PS Medical Supplies Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

96536 Issued in CA

Legal business name

PS MEDICAL SUPPLIES INC

Practice address

24594 Sunnymead Blvd
Suite M
Moreno Valley, CA 92553

Phone

(800) 310-6033

Fax

(909) 599-2181

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Laura Nadine Fox

Title

Ceo

Phone

(800) 310-6033

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174044101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24594 SUNNYMEAD BLVD STE M",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533730",
            "telephone_number": "800-310-6033",
            "fax_number": "909-599-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24594 SUNNYMEAD BLVD",
            "address_2": "SUITE M",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "800-310-6033",
            "fax_number": "909-599-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PS MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "NADINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-310-6033"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "96536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR LICENSE #",
            "identifier": "96536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.