Formulation Materials

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FORMULATION MATERIALS

Practice address

9121 Darwin Rd
Phelan, CA 92371-9294

Phone

(213) 800-9815

NPI assigned

Apr 29, 2026

Last updated

Apr 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Darryl Lateef Johnson II

Title

Ceo

Phone

(213) 800-9815

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darryl Lateef II Johnson II

  • Durable Medical Equipment & Medical Supplies
  • Phelan, CA
  • NPI 1821934217
  NPD

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1609712728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 DARWIN RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923719294",
            "telephone_number": "213-800-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 DARWIN RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923719294",
            "telephone_number": "213-800-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMULATION MATERIALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DARRYL LATEEF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-800-9815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Wilder Eby, DDS
• Family Medical Clinic & Urgent Care Inc
• Maya Feldman, CMT, MMP
• Patricia Joan Felt, PT
• Ariel Amethyst Ferrara, MSN, RN, FNP-BC
• Gerald J Walde (Waldes Desert Pharmacy)
• Vivek S Gill, MD
• Aida Girma
• Helps Here
• J.Caballero D.D.S., Inc

• Durable Medical Equipment & Medical Supplies in Phelan, CA
• Providers in Phelan, 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 Apr 29, 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.