Medsphere Medical Supply and Equipment Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDSPHERE MEDICAL SUPPLY AND EQUIPMENT INC

Practice address

28494 Westinghouse PL Ste 310
Valencia, CA 91355-0936

Phone

(661) 200-3366

Fax

(661) 200-3366

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Glealyn Custodio

Title

President

Phone

(661) 200-3366

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1295507648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28494 WESTINGHOUSE PL STE 310",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28494 WESTINGHOUSE PL STE 310",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550936",
            "telephone_number": "661-200-3366",
            "fax_number": "661-200-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSPHERE MEDICAL SUPPLY AND EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "CUSTODIO",
        "authorized_official_first_name": "GLEALYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-200-3366"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Medina
• Bryan Austin Medina, MD
• Christian Medina, BS
• Karla Medina
• Nohemi Liliana Medina, LMT
• Helen Gast Meek, MFT
• John C. Meher, M.D.
• Hasmik Mehrabyan
• Mehran Abbassian DDS Inc
• Benjamin Harris Meisel, MD

• Durable Medical Equipment & Medical Supplies in Valencia, CA
• Providers in Valencia, 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 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.