Organization Active NPI

Nne Medical Supply and Equipment Inc

  • Customized Equipment (DME)
  • Irwindale, CA
National Provider Identifier
1518195288
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
NNE MEDICAL SUPPLY AND EQUIPMENT INC
Practice address
13105 Ramona Blvd Ste B
Irwindale, CA 91706-3858
Phone
(626) 337-2000
Fax
(626) 337-2006
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Charina Berroya
Title
President
Phone
(626) 337-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 51412 CA
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

13105 Ramona Blvd Ste B
Irwindale, CA 91706-3858

Mailing address

13105 Ramona Blvd Ste B
Irwindale, CA 91706-3858
Phone (626) 337-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930008562 CA DME Supplier - Medical Supply Company 0345442158 Practice locations: Irwindale, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Nne Medical Supply & Equipment Inc13105 Ramona Blvd, Irwindale, CA 91706-3858(626) 337-2000 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and… Does not accept assignmentParticipating since Apr 11, 2006

National Provider Directory

National Provider Directory
Tax ID family
Nne Medical Supply Equipment Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13139 Ramona Blvd
Ste A
Irwindale, CA 91706

13105 Ramona Blvd
Ste B
Irwindale, CA 91706
Phone (626) 337-2000

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1518195288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13105 RAMONA BLVD STE B",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917063858",
            "telephone_number": "626-337-2000",
            "fax_number": "626-337-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13105 RAMONA BLVD STE B",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917063858",
            "telephone_number": "626-337-2000",
            "fax_number": "626-337-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNE MEDICAL SUPPLY AND EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "BERROYA",
        "authorized_official_first_name": "CHARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-337-2000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "51412",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwindale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.