Active NPI
SD Medical Solutions LLC
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
National Provider Identifier
1427854900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250312003878 | CA | DME Supplier - Medical Supply Company | 3173044625 | Practice locations: San Diego, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| SD Medical Soultions LLC | Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.