NPIMap

Organization Active NPI

West Coast DME & Supplies LLC

  • Prosthetic/Orthotic Supplier
  • Agoura Hills, CA
National Provider Identifier
1689189664
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WEST COAST DME & SUPPLIES LLC
Practice address
30101 Agoura CT Ste 114
Agoura Hills, CA 91301-4301
Phone
(909) 477-3117
Fax
(909) 303-9244
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Mr. Michael Gregory Wells, CPED
Title
Coo
Phone
(909) 477-3117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 77673 CA
Prosthetic/Orthotic Supplier 335E00000X CA Primary

Addresses

Primary practice location

30101 Agoura CT Ste 114
Agoura Hills, CA 91301-4301

Mailing address

1835 Chicago Ave Ste a
Riverside, CA 92507-2309
Phone (909) 477-3117

Other names 1

  • OrthoKinetix Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Coast DME Supplies LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1689189664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 CHICAGO AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072309",
            "telephone_number": "909-477-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 114",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014301",
            "telephone_number": "909-477-3117",
            "fax_number": "909-303-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST DME & SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "909-477-3117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "77673",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoKinetix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.