Mercyland Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5400210001 Issued in CA

Legal business name

MERCYLAND MEDICAL SUPPLY

Practice address

26575 Baseline Road
Suite B
Highland, CA 92346-5380

Phone

(909) 862-7272

Fax

(909) 862-7214

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Noel Tunde Esho

Title

Owner

Phone

(909) 862-7272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467590497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26575 BASELINE ROAD",
            "address_2": "SUITE B",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465380",
            "telephone_number": "909-862-7272",
            "fax_number": "909-862-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26575 BASELINE ROAD",
            "address_2": "SUITE B",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465380",
            "telephone_number": "909-862-7272",
            "fax_number": "909-862-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYLAND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESHO",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "TUNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-862-7272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5400210001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen R McIvor, M.D.
• Michael Joseph McNeill, M.D.
• Cindy H Mecate, R.D.
• Alondra Ivette Melendrez
• Erin Mendez, CRNA, DNP
• Millenium Palliative Care, LLC
• Silverstarla Donna Miller
• Byron S Moe, D D S
• Grace Nyaboke Mogaka
• Sara Awad Mohamed

• Durable Medical Equipment & Medical Supplies in Highland, CA
• Providers in Highland, 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 Aug 22, 2020; 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.