Organization Active NPI

Arise DME

  • Durable Medical Equipment & Medical Supplies
  • Corona, CA
National Provider Identifier
1225783467
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARISE DME
Practice address
400 Ramona Ave Ste 212a
Corona, CA 92879-1443
Phone
(951) 212-3147
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Peter Wasif
Title
Ceo
Phone
(951) 212-3147

Specialties & licenses 1

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

Addresses

Primary practice location

400 Ramona Ave Ste 212a
Corona, CA 92879-1443

Mailing address

400 Ramona Ave Ste 212a
Corona, CA 92879-1443
Phone (951) 212-3147

Other identifiers 1

IdentifierTypeStateIssuer
1639661127MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 9512123147 Direct

National Provider Directory

National Provider Directory

Locations

400 Ramona Ave
Ste 212A
Corona, CA 92879
Phone (951) 212-3147

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1225783467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RAMONA AVE STE 212A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791443",
            "telephone_number": "951-212-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RAMONA AVE STE 212A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791443",
            "telephone_number": "951-212-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "WASIF",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-212-3147"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639661127",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9512123147",
            "affiliation": "N",
            "endpointDescription": "office phone number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Ramona Ave Ste 212A",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928791443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.