Organization Active NPI

BSBW Inc

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
National Provider Identifier
1619807773
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BSBW INC
Practice address
2509 S Power Rd Ste 105
Mesa, AZ 85209-6696
Phone
(623) 624-7420
NPI assigned
May 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Jake Gabbard
Title
Administrator
Phone
(714) 904-4104

Specialties & licenses 1

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

Addresses

Primary practice location

2509 S Power Rd Ste 105
Mesa, AZ 85209-6696

Mailing address

2509 S Power Rd Ste 105
Mesa, AZ 85209-6696
Phone (623) 624-7420

National Provider Directory

National Provider Directory

Locations

2509 S Power Rd
Ste 105
Mesa, AZ 85209
Phone (623) 624-7420

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1619807773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 S POWER RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096696",
            "telephone_number": "623-624-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S POWER RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096696",
            "telephone_number": "623-624-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSBW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "GABBARD",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-904-4104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.