Active NPI
Cedar Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
National Provider Identifier
1255205449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CEDAR MEDICAL SUPPLIES LLC
- Practice address
- 11225 North 28TH Drive
Ste A102-01
Phoenix, AZ 85029 - Phone
- (213) 791-3147
- NPI assigned
- Oct 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dawit E Wasse
- Title
- Managing Director
- Phone
- (213) 791-3147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
11225 North 28TH Drive
Ste A102-01
Phoenix, AZ 85029
Mailing address
11225 North 28TH Drive
Phoenix, AZ 85029
Phone (213) 791-3147
National Provider Directory
National Provider DirectoryLocations
11225 N 28th Dr
Ste A10201
Phoenix, AZ 85029
Phone (213) 791-3147
11225 N 28th Dr
Phoenix, AZ 85029
Phone (602) 456-1360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1255205449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11225 NORTH 28TH DRIVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85029",
"telephone_number": "213-791-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 NORTH 28TH DRIVE",
"address_2": "STE A102-01",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85029",
"telephone_number": "213-791-3147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-08-25",
"status": "A",
"authorized_official_last_name": "WASSE",
"authorized_official_first_name": "DAWIT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "213-791-3147",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.