Organization Active NPI

Alliance Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1306865340
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALLIANCE MEDICAL SUPPLY, LLC
Practice address
1070 Arion Cir Ste 164
San Antonio, TX 78216-2839
Phone
(210) 737-2444
Fax
(210) 737-2445
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Cameo Kae Zehnder
Title
Chief Administrative Officer
Phone
(651) 642-1825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1070 Arion Cir Ste 164
San Antonio, TX 78216-2839

Mailing address

1070 Arion Cir Ste 164
San Antonio, TX 78216-2839
Phone (210) 737-2444

Other identifiers 4

IdentifierTypeStateIssuer
011483701MedicaidTX
078870501OtherTXMEDICAID CIDC
010067901OtherTXMEDICAID CCP
010067901MedicaidTX

Other names 2

  • Pediatric Home Service Doing business as
  • Alliance Medical Supply, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930015309 TX DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 3870613409 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Pediatric Home Service1070 Arion Cir, San Antonio, TX 78216-2839(210) 737-2444 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators … Does not accept assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Alliance Medical Supplyinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2333 E 8th St
Odessa, TX 79761
Phone (432) 550-6500

715 E 7th St
Odessa, TX 79761
Phone (432) 337-0136

10643 Sentinel St
San Antonio, TX 78217
Phone (210) 737-2444

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1306865340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 ARION CIR STE 164",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162839",
            "telephone_number": "210-737-2444",
            "fax_number": "210-737-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 ARION CIR STE 164",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162839",
            "telephone_number": "210-737-2444",
            "fax_number": "210-737-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "ZEHNDER",
        "authorized_official_first_name": "CAMEO",
        "authorized_official_middle_name": "KAE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "651-642-1825"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011483701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CIDC",
            "identifier": "078870501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CCP",
            "identifier": "010067901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010067901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Home Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Medical Supply, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Alliance Medical Supply, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.