Organization Active NPI

Assured Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Laguna Hills, CA
National Provider Identifier
1689785008
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101688 Issued in CA
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

Updated by the provider on Dec 6, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME03191FMedicaidCA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.