Organization Active NPI

MTS Health Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Chino, CA
National Provider Identifier
1700136017
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
49331 Issued in CA
Legal business name
MTS HEALTH SUPPLIES INC
Practice address
15870 El Prado Rd Ste B
Chino, CA 91708-9132
Phone
(951) 279-2289
Fax
(951) 279-9989
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Mr. Gus Salaymeh
Title
President
Phone
(951) 279-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 49331 CA Primary

Addresses

Primary practice location

15870 El Prado Rd Ste B
Chino, CA 91708-9132

Mailing address

15870 El Prado Rd Ste B
Chino, CA 91708-9132
Phone (951) 279-2289

Other identifiers 1

IdentifierTypeStateIssuer
22568OtherCAHOME MEDICAL DEVICE EXEMPTEE LICENSE

National Provider Directory

National Provider Directory

Locations

15870 El Prado Rd
Ste B
Chino, CA 91708
Phone (951) 279-2289

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1700136017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15870 EL PRADO RD STE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089132",
            "telephone_number": "951-279-2289",
            "fax_number": "951-279-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15870 EL PRADO RD STE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089132",
            "telephone_number": "951-279-2289",
            "fax_number": "951-279-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTS HEALTH SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "SALAYMEH",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-279-2289",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "49331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL DEVICE EXEMPTEE LICENSE",
            "identifier": "22568",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.