Organization Active NPI

Cedar Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1255205449
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 1, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.