Organization Active NPI

SML Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
National Provider Identifier
1558826628
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SML MEDICAL SUPPLIES, INC.
Practice address
3315 E Miraloma Ave Ste 117
Anaheim, CA 92806-1924
Phone
(909) 559-7200
Fax
(909) 393-1438
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Mr. Sameh Awad
Title
President
Phone
(909) 559-7200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nursing Facility Supplies (DME) 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

3315 E Miraloma Ave Ste 117
Anaheim, CA 92806-1924

Mailing address

3315 E Miraloma Ave Ste 117
Anaheim, CA 92806-1924
Phone (909) 559-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526001356 CA DME Supplier - Medical Supply Company 0941609853 Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory

Locations

3315 E Miraloma Ave
Ste 117
Anaheim, CA 92806
Phone (909) 333-7454

20372 Hermana Cir
Lake Forest, CA 92630
Phone (909) 333-7454

22345 La Palma Ave
Ste 101102
Yorba Linda, CA 92887

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1558826628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 E MIRALOMA AVE STE 117",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061924",
            "telephone_number": "909-559-7200",
            "fax_number": "909-393-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 E MIRALOMA AVE STE 117",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061924",
            "telephone_number": "909-559-7200",
            "fax_number": "909-393-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SML MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-559-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.