Organization Active NPI

Medplus DME

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
National Provider Identifier
1376271403
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDPLUS DME
Doing business as
Medplus DME
Practice address
1501 S Raymond Avenue Suite K
Anaheim, CA 92801
Phone
(714) 770-0144
Fax
(714) 770-0134
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Mr. Rolando Dy Buco Jr.
Title
Vice President
Phone
(714) 770-0144

Specialties & licenses 1

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

Addresses

Primary practice location

1501 S Raymond Avenue Suite K
Anaheim, CA 92801

Mailing address

1501 S Raymond Avenue Suite K
Anaheim, CA 92801
Phone (714) 770-0144

Other identifiers 1

IdentifierTypeStateIssuer
116463OtherCADEPARTMENT OF PUBLIC HEALTH FOOD AND DRUG BRANCH

Other names 1

  • MEDPLUS DME Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@medplusdme.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1376271403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S RAYMOND AVENUE SUITE K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-770-0144",
            "fax_number": "714-770-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S RAYMOND AVENUE SUITE K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-770-0144",
            "fax_number": "714-770-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-04-30",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "DY BUCO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-770-0144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH FOOD AND DRUG BRANCH",
            "identifier": "116463",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@medplusdme.com",
            "affiliation": "N",
            "endpointDescription": "Fax and secure email",
            "address_1": "1501 S Raymond Suite K",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MEDPLUS DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.