American Surgical Medical Supply Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

AMERICAN SURGICAL MEDICAL SUPPLY INC

Practice address

17581 Irvine Blvd Ste 116
Tustin, CA 92780-3123

Phone

(888) 501-7751

Fax

(909) 366-5908

NPI assigned

Jul 10, 2020

Organization subpart

Yes

Parent organization

AMERICAN SURGICAL MEDICAL SUPPLY INCAs reported in NPPES

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

Authorized official

Name

Mr. Allen Lafayette Newsome Jr.

Title

President

Phone

(760) 599-8800

Specialties & licenses 1

Addresses

Other names 1

• American Surgical Medical Supply Tustin Doing business as

Electronic endpoints 1

Part of

American Surgical Medical Supply Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• American Surgical Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Loma Linda, CA
  • NPI 1093277485
  NPPES parent name

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1629696166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 EL CAMINO REAL STE 105-253",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094100",
            "telephone_number": "760-845-7032",
            "fax_number": "909-366-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17581 IRVINE BLVD STE 116",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803123",
            "telephone_number": "888-501-7751",
            "fax_number": "909-366-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SURGICAL MEDICAL SUPPLY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SURGICAL MEDICAL SUPPLY  INC",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "LAFAYETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-599-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "allen@asmsupply.com",
            "affiliation": "N",
            "endpointDescription": "Complex Rehab Wheelchairs and Medical Supplies",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17581 Irvine Blvd Ste 116",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927803123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "American Surgical Medical Supply Tustin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Tustin, CA
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.