Medisupplies, Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MEDISUPPLIES, INC.

Practice address

1830 S Santa Fe St Ste B
Santa Ana, CA 92705-4823

Phone

(562) 310-5053

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Moe Tamary

Title

President

Phone

(562) 310-5053

Specialties & licenses 1

Addresses

Other names 1

• MediMobile Xray Doing business as

Locations

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1225892995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 GARDEN GROVE BLVD # 400",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414225",
            "telephone_number": "562-310-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S SANTA FE ST STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054823",
            "telephone_number": "562-310-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "TAMARY",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-310-5053"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediMobile Xray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margarita Rosario Medina
• Myra Alexandra Medina, AMFT
• Priscilla Medina, PTA
• Roger Medina
• Shawn Michael Medina
• Medix Healthcare Solutions, LLC
• Medmanagement LLC
• Daniela Josie Medrano, CMPSS
• Gloria Medrano
• Shaun Christopher Meehan

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.