Active NPI
Gdi Medical Equipment & Supplies Inc.
- Durable Medical Equipment & Medical Supplies
- Corona, CA
National Provider Identifier
1306029400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 101813
- Legal business name
- GDI MEDICAL EQUIPMENT & SUPPLIES INC.
- Practice address
- 541 N Main St Ste 102
Corona, CA 92880-2056 - Phone
- (951) 279-2158
- NPI assigned
- Dec 11, 2007
- 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
- Anthony Grier
- Title
- President
- Phone
- (951) 279-2158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 101813 | CA | Primary |
Addresses
Primary practice location
541 N Main St Ste 102
Corona, CA 92880-2056
Mailing address
541 N Main St Ste 102
Corona, CA 92880-2056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME03114F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
541 N Main St
Ste 102
Corona, CA 92878
Phone (951) 279-2158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1306029400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 N MAIN ST STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928802056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 N MAIN ST STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928802056",
"telephone_number": "951-279-2158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GDI MEDICAL EQUIPMENT & SUPPLIES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "GRIER",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-279-2158"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "101813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME03114F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.