Prime Care Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME CARE MEDICAL SUPPLIES LLC

Practice address

2421 Homewood Dr
Stockton, CA 95210-3436

Phone

(226) 538-0461

NPI assigned

Jun 25, 2026

Organization subpart

No

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

Authorized official

Name

Omar Khitab

Title

Ceo

Phone

(226) 538-0461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1265358253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 HOMEWOOD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 HOMEWOOD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103436",
            "telephone_number": "226-538-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "KHITAB",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "226-538-0461"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Prieto III
• Judith Prima, O.D.
• Daren Stephen Primack, MD
• Robyn Primack, RD
• Todd Primack, D.O.
• Prime ENT Sinus Sleep & Allergy Inc
• Eileen P Primero, MD
• Sylvia Primous
• Kaitlyn Nicole Privett
• Maleah Prodigalidad

• Durable Medical Equipment & Medical Supplies in Stockton, CA
• Providers in Stockton, 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 Jun 25, 2026; 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.