Organization Active NPI

Innovamed Industries LLC

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
National Provider Identifier
1619828902
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INNOVAMED INDUSTRIES LLC
Practice address
38340 Innovation CT # D-403
Murrieta, CA 92563-2621
Phone
(951) 521-2839
NPI assigned
Feb 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Mr. Romeo Reyes Ladero Jr., NPNPI 1356869846
Title
Executive Marketing
Phone
(951) 521-2839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

38340 Innovation CT # D-403
Murrieta, CA 92563-2621

Mailing address

38340 Innovation CT # D-403
Murrieta, CA 92563-2621
Phone (951) 521-2839

National Provider Directory

National Provider Directory

Locations

38340 Innovation Ct
#D403
Murrieta, CA 92563
Phone (951) 521-2839

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1619828902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38340 INNOVATION CT # D-403",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632621",
            "telephone_number": "951-521-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38340 INNOVATION CT # D-403",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632621",
            "telephone_number": "951-521-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVAMED INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "LADERO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "EXECUTIVE MARKETING",
        "authorized_official_telephone_number": "951-521-2839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.