Organization Active NPI

Pittsburg Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Pittsburg, CA
National Provider Identifier
1184552143
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PITTSBURG MEDICAL SUPPLY LLC
Practice address
2283 Railroad Ave
Pittsburg, CA 94565-4924
Phone
(925) 966-9797
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Shannon Tyler Smith
Title
President
Phone
(925) 966-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2283 Railroad Ave
Pittsburg, CA 94565-4924

Mailing address

3710 Lone Tree Way Ste 150
Antioch, CA 94509-6018
Phone (925) 966-9797

National Provider Directory

National Provider Directory

Locations

2283 Railroad Ave
Pittsburg, CA 94565
Phone (925) 966-9797

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1184552143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 LONE TREE WAY STE 150",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096018",
            "telephone_number": "925-966-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 RAILROAD AVE",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654924",
            "telephone_number": "925-966-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURG MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-966-9797"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.