Organization Active NPI

Prevail Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
National Provider Identifier
1346972700
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREVAIL MEDICAL EQUIPMENT, INC.
Practice address
10061 Talbert Ave Ste 228
Fountain Valley, CA 92708-5159
Phone
(949) 385-1697
NPI assigned
Jun 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Jeanett Valenzuela Ayub
Title
Ceo
Phone
(619) 862-4640

Specialties & licenses 1

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

Addresses

Primary practice location

10061 Talbert Ave Ste 228
Fountain Valley, CA 92708-5159

Mailing address

10061 Talbert Ave Ste 228
Fountain Valley, CA 92708-5159
Phone (949) 385-1697

National Provider Directory

National Provider Directory

Locations

10061 Talbert Ave
Ste 228
Fountain Valley, CA 92708
Phone (949) 385-1697

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1346972700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE STE 228",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085159",
            "telephone_number": "949-385-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE STE 228",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085159",
            "telephone_number": "949-385-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-25",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA AYUB",
        "authorized_official_first_name": "JEANETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-862-4640"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.