NPIMap

Organization Active NPI

Shield California Health Care Center Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • San Diego, CA
National Provider Identifier
1356225866
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
SHIELD CALIFORNIA HEALTH CARE CENTER INC
Practice address
9444 Farnham St Ste 100
San Diego, CA 92123-1300
Phone
(800) 458-7718
Fax
(858) 277-4682
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Michael Suor
Title
VP and General Manager
Phone
(661) 294-4217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

9444 Farnham St Ste 100
San Diego, CA 92123-1300

Mailing address

27911 Franklin Pkwy
Valencia, CA 91355-4110
Phone (661) 294-4217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260211000825 CA DME Supplier - Medical Supply Company 7214055821 Practice locations: San Diego, CA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Shield California Health Care Inc.9444 Farnham St, San Diego, CA 92123-1360(800) 557-8797 Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Shield Hlthcr Ctrberke7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

935 S Mount Vernon Ave
Ste 110
Colton, CA 92324
Phone (909) 512-9290

7111 N Fresno St
Ste 270
Fresno, CA 93720
Phone (559) 449-4250

9444 Farnham St
Ste 100
San Diego, CA 92123
Phone (800) 458-7718

9444 Farnham St
San Diego, CA 92123
Phone (800) 557-8797

9520 Norwalk Blvd
Santa Fe Springs, CA 90670
Phone (562) 298-1019

2950 Buskirk Ave
Ste 180
Walnut Creek, CA 94597
Phone (510) 596-2069

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1356225866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27911 FRANKLIN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554110",
            "telephone_number": "661-294-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 FARNHAM ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231300",
            "telephone_number": "800-458-7718",
            "fax_number": "858-277-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD CALIFORNIA HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "SUOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP AND GENERAL MANAGER",
        "authorized_official_telephone_number": "661-294-4217"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical 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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.