Aeon Medical Equipment & Supplies, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

07 00005902 Issued in CA

Legal business name

AEON MEDICAL EQUIPMENT & SUPPLIES, INC

Practice address

1925 McKinley Ave Ste B
La Verne, CA 91750-5800

Phone

(909) 596-3252

Fax

(909) 596-3301

NPI assigned

Nov 5, 2007

Last updated

Jul 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathyreen Sibala

Title

Manager

Phone

(909) 596-3252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1356521678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 MCKINLEY AVE STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505800",
            "telephone_number": "909-596-3252",
            "fax_number": "909-596-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 MCKINLEY AVE STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505800",
            "telephone_number": "909-596-3252",
            "fax_number": "909-596-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEON MEDICAL EQUIPMENT & SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "SIBALA",
        "authorized_official_first_name": "KATHYREEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-596-3252"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "07 00005902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip David Acevedo Jr., D.D.S.
• Latha Madhavi Achanta, MD MPH
• Joanna Acosta, LVN
• Jessica Adams, MOT, OTR/L
• Advanced Medical Xray Inc (Mobile Digital Xray)
• Hira Hareem Alam, D.M.D
• Anderson Gustavo Alas, DDS
• Azam Mohammed Aleemuddin, DDS, MPH
• Haneen Alghita
• Younis Arif Ali, MD

• Oxygen Equipment & Supplies (DME) in La Verne, CA
• Providers in La Verne, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.