Active NPI
Mi-Med Supply Co., Inc.
- Durable Medical Equipment & Medical Supplies
- Vista, CA
National Provider Identifier
1578678223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1622191 | Medicaid | AK | |
| 1578678223 | Medicaid | CA | |
| 1578678223 | Medicaid | NV |
Other names 1
- Experea Healthcare
National Provider Directory
National Provider DirectoryNPI 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.