Shield Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHIELD MEDICAL SUPPLIES LLC

Practice address

9286 Old Castle Rd
Valley Center, CA 92082-5506

Phone

(800) 901-8357

Fax

(800) 901-8357

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Adam Sikes

Title

President

Phone

(800) 901-8357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1407330590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211241",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919211241",
            "telephone_number": "800-901-8357",
            "fax_number": "800-901-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9286 OLD CASTLE RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825506",
            "telephone_number": "800-901-8357",
            "fax_number": "800-901-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-901-8357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramine Noor Saifi
• Feliks Sarkisyan, RN
• Dyan M Savery, PHD
• Schauer Family Therapy
• Matthew Christian Schauer, PSY.D LMFT
• Jeanette Shin, LCSW
• H Michael Skopeck, M.D.
• Solano Diagnostics Partners, a Calif Limited Partnership
• Mican Rebecca Soriano, RN
• Diana Sourbeer, R.D.

• Durable Medical Equipment & Medical Supplies in Valley Center, CA
• Providers in Valley Center, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.