Organization Active NPI

Mediqo Billing LLC

  • Durable Medical Equipment & Medical Supplies
  • Rialto, CA
National Provider Identifier
1639087190
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDIQO BILLING LLC
Practice address
1507 W Wilson St
Rialto, CA 92376-6241
Phone
(081) 825-4962
Fax
(081) 825-4962
NPI assigned
Aug 27, 2026
Last updated
Aug 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Authorized official

Name
No Name Abhishek
Title
Owner
Phone
(818) 254-9621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1507 W Wilson St
Rialto, CA 92376-6241

Mailing address

1507 W Wilson St
Rialto, CA 92376-6241
Phone (081) 825-4962

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1639087190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W WILSON ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766241",
            "telephone_number": "081-825-4962",
            "fax_number": "081-825-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W WILSON ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766241",
            "telephone_number": "081-825-4962",
            "fax_number": "081-825-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQO BILLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "ABHISHEK",
        "authorized_official_first_name": "NO NAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-254-9621"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

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