Active NPI
Degc Enterprises (U.S.), Inc.
- Durable Medical Equipment & Medical Supplies
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DEGC ENTERPRISES (U.S.), INC.
- Doing business as
- CCS Medical
- Practice address
- 5464 E la Palma Ave Unit B
Anaheim, CA 92807-2023 - Phone
- (800) 560-0595
- Fax
- (714) 696-9021
- NPI assigned
- Sep 29, 2006
- Organization subpart
- Yes
- Parent organization
- DEGC ENTERPRISES (U.S.), INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Hofmeister
- Title
- Cfo
- Phone
- (972) 628-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5464 E la Palma Ave Unit B
Anaheim, CA 92807-2023
Mailing address
160 Fountain Pkwy N Ste 200
St Petersburg, FL 33716-1411
Phone (972) 628-2100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710079223 | Medicaid | IL | |
| 097022 | Medicaid | AZ | |
| 1021987 | Medicaid | AK | |
| 1710079223 | Medicaid | CA |
Other names 1
- CCS Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930006679 | CA | DME Supplier - Medical Supply Company | 9739209396 | Practice locations: Anaheim, CA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Clearwater, FL
- NPI 1295827780
9739209396
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CCS Medical | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Orthoses: Off-The-Shelf|Penile Pumps|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Degc Enterprises US Inc
- Part of
- Degc Enterprises US Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Clearwater, FL
- NPI 1295827780
-
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
- NPI 1427915081
-
- Pharmacy
- Roanoke, VA
- NPI 1750473252
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Pittsburgh, PA
- NPI 1851483325
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1164460747
Member Of
Locations
5464 E La Palma Ave
Unit B
Anaheim, CA 92807
Phone (800) 560-0595
5464 E La Palma Ave
Ste B
Anaheim, CA 92807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1710079223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 FOUNTAIN PKWY N STE 200",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161411",
"telephone_number": "972-628-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5464 E LA PALMA AVE UNIT B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072023",
"telephone_number": "800-560-0595",
"fax_number": "714-696-9021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEGC ENTERPRISES (U.S.), INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEGC ENTERPRISES (U.S.), INC.",
"enumeration_date": "2006-09-29",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A",
"authorized_official_last_name": "HOFMEISTER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "972-628-2100"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710079223",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097022",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021987",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710079223",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CCS Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CCS Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.