Active NPI
Assured Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Laguna Hills, CA
National Provider Identifier
1689785008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 101688
- Legal business name
- ASSURED MEDICAL SUPPLY, INC.
- Practice address
- 23541 Ridge Route Dr
Ste a
Laguna Hills, CA 92653-1500 - Phone
- (949) 487-0084
- Fax
- (949) 487-0083
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis William Karnes
- Title
- Ceo
- Phone
- (494) 870-0849
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 101688 | CA | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 101688 | CA |
Addresses
Primary practice location
23541 Ridge Route Dr
Ste a
Laguna Hills, CA 92653-1500
Mailing address
23541 Ridge Route Dr
Ste a
Laguna Hills, CA 92653-1500
Phone (949) 487-0084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME03191F | Medicaid | CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Arcadia, CA
- NPI 1043520158
Member Of
Locations
23541 Ridge Route Dr
Ste A
Laguna Hills, CA 92653
Phone (949) 487-0084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544054400000",
"number": "1689785008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23541 RIDGE ROUTE DR",
"address_2": "STE A",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531500",
"telephone_number": "949-487-0084",
"fax_number": "949-487-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23541 RIDGE ROUTE DR",
"address_2": "STE A",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531500",
"telephone_number": "949-487-0084",
"fax_number": "949-487-0083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURED MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2018-12-06",
"status": "A",
"authorized_official_last_name": "KARNES",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "494-870-0849"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "101688",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "101688",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME03191F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.