Organization Active NPI

Mi-Med Supply Co., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Vista, CA
National Provider Identifier
1578678223
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MI-MED SUPPLY CO., INC.
Doing business as
Experea Healthcare
Practice address
1390 Decision St Ste B
Vista, CA 92081-8578
Phone
(760) 734-6648
Fax
(772) 607-5274
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Claudio Galeno de Araujo Filho
Title
President and Director
Phone
(772) 292-7733

Specialties & licenses 1

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

Addresses

Primary practice location

1390 Decision St Ste B
Vista, CA 92081-8578

Mailing address

PO Box 674553
Detroit, MI 48267-4553
Phone (866) 897-8588

Other identifiers 3

IdentifierTypeStateIssuer
1622191MedicaidAK
1578678223MedicaidCA
1578678223MedicaidNV

Other names 1

  • Experea Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1578678223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674553",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674553",
            "telephone_number": "866-897-8588",
            "fax_number": "772-607-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 DECISION ST STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818578",
            "telephone_number": "760-734-6648",
            "fax_number": "772-607-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI-MED SUPPLY CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ARAUJO FILHO",
        "authorized_official_first_name": "CLAUDIO",
        "authorized_official_middle_name": "GALENO DE",
        "authorized_official_title_or_position": "PRESIDENT AND DIRECTOR",
        "authorized_official_telephone_number": "772-292-7733"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1622191",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578678223",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578678223",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Experea Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.