NPIMap

Organization Active NPI

Sun Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Redlands, CA
National Provider Identifier
1184716672
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUN MEDICAL EQUIPMENT INC
Practice address
1915 Redlands Blvd
Suite #101
Redlands, CA 92373-3350
Phone
(909) 307-8090
Fax
(909) 307-8099
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Mr. Shahzada Yaqoot
Title
Owner/Officer of the Corporation
Phone
(909) 307-8090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103666 CA
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1915 Redlands Blvd
Suite #101
Redlands, CA 92373-3350

Mailing address

1915 Redlands Blvd.,
Suite #101
Redlands, CA 92373-3350
Phone (909) 307-8090

Other names 1

  • Sun Medical Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061215 CA DME Supplier - Medical Supply Company 9032328547 Practice locations: Redlands, CA

National Provider Directory

National Provider Directory
Tax ID family
Sun Medical Equipment Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1184716672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 REDLANDS BLVD.,",
            "address_2": "SUITE #101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733350",
            "telephone_number": "909-307-8090",
            "fax_number": "909-307-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 REDLANDS BLVD",
            "address_2": "SUITE #101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733350",
            "telephone_number": "909-307-8090",
            "fax_number": "909-307-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "YAQOOT",
        "authorized_official_first_name": "SHAHZADA",
        "authorized_official_title_or_position": "OWNER/OFFICER OF THE CORPORATION",
        "authorized_official_telephone_number": "909-307-8090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103666",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.