NPIMap

Organization Active NPI

Super Care, LLC

Doing business as SuperCare Health

  • Oxygen Equipment & Supplies (DME)
  • Victorville, CA
National Provider Identifier
1215738893
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SUPER CARE, LLC
Doing business as
SuperCare Health
Practice address
12176 Industrial Blvd Ste 4
Victorville, CA 92395-5879
Phone
(800) 206-4880
NPI assigned
Mar 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
John L Cassar
Title
Ceo
Phone
(800) 206-4880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

12176 Industrial Blvd Ste 4
Victorville, CA 92395-5879

Mailing address

16017 Valley Blvd
City of Industry, CA 91744-5424
Phone (877) 876-9275

Other names 1

  • SuperCare Health Doing business as

National Provider Directory

National Provider Directory

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1215738893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 VALLEY BLVD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917445424",
            "telephone_number": "877-876-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12176 INDUSTRIAL BLVD STE 4",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955879",
            "telephone_number": "800-206-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-206-4880"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperCare Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.