West Coast DME & Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WEST COAST DME & SUPPLIES LLC

Practice address

8322 Clairemont Mesa Blvd Ste 105
San Diego, CA 92111-1317

Phone

(909) 477-3117

Fax

(909) 303-9244

NPI assigned

May 24, 2019

Organization subpart

Yes

Parent organization

WEST COAST DME & SUPPLIES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Michael Gregory Wells, C.PED

Title

President

Phone

(909) 908-3920

Specialties & licenses 5

Addresses

Other names 1

• OrthoKinetix Doing business as

Electronic endpoints 1

Tax ID family

West Coast DME Supplies LLC4 organizations share this tax ID, including this one

Part of

West Coast DME Supplies LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• West Coast DME & Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Riverside, CA
  • NPI 1376883660
  NPD tax ID
• West Coast DME & Supplies LLC

  • Prosthetic/Orthotic Supplier
  • Agoura Hills, CA
  • NPI 1689189664
  NPD tax ID
• West Coast DME & Supplies LLC

  • Prosthetic/Orthotic Supplier
  • Palmdale, CA
  • NPI 1891374310
  NPD tax ID

Locations

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1255998290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 CHICAGO AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072309",
            "telephone_number": "909-477-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 CLAIREMONT MESA BLVD STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111317",
            "telephone_number": "909-477-3117",
            "fax_number": "909-303-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST DME & SUPPLIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST COAST DME & SUPPLIES LLC",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-908-3920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mikew@orthokinetix.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "8322 Clairemont Mesa Blvd Ste 105",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921111317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OrthoKinetix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leland G Wessel, M.D.
• Stefani Marie Wessel
• Mildred Johanna Wessigk, MD
• Maya Wesson
• West Care Chiropractic Dr. Majid Taghizadeh D.C, Inc.
• West Coast HS US Pharmacy LLC
• West Coast HS US Pharmacy LLC
• West Coast HS US Pharmacy LLC
• West Coast HS US Pharmacy LLC
• West Coast Med Billing Laboratories Inc

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.