Organization Active NPI

Gdi Medical Equipment & Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Corona, CA
National Provider Identifier
1306029400
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101813 Issued in CA
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

Updated by the provider on Dec 11, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME03114FMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.