Organization Active NPI

SD Medical Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1427854900
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SD MEDICAL SOLUTIONS LLC
Practice address
1420 Kettner Blvd Ste 200
San Diego, CA 92101-2432
Phone
(858) 222-3556
NPI assigned
Feb 24, 2025
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Saad Abdrabou Abdelra Metwally
Title
Owner
Phone
(858) 222-3556

Specialties & licenses 1

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

Addresses

Primary practice location

1420 Kettner Blvd Ste 200
San Diego, CA 92101-2432

Mailing address

1420 Kettner Blvd Ste 200
San Diego, CA 92101-2432
Phone (858) 222-3556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312003878 CA DME Supplier - Medical Supply Company 3173044625 Practice locations: San Diego, CA

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
SD Medical Soultions LLC1420 Kettner Blvd, San Diego, CA 92101-2432(858) 222-3556 Orthoses: Off-The-Shelf Accepts assignmentParticipating since Aug 11, 2025

National Provider Directory

National Provider Directory

Locations

1420 Kettner Blvd
Ste 200
San Diego, CA 92101
Phone (858) 222-3556

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1427854900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 KETTNER BLVD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012432",
            "telephone_number": "858-222-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KETTNER BLVD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012432",
            "telephone_number": "858-222-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "METWALLY",
        "authorized_official_first_name": "SAAD ABDRABOU ABDELRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-222-3556"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Feb 24, 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.