Organization Active NPI

Degc Enterprises (U.S.), Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
National Provider Identifier
1710079223
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1710079223MedicaidIL
097022MedicaidAZ
1021987MedicaidAK
1710079223MedicaidCA

Other names 1

  • CCS Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
CCS Medical5464 E la Palma Ave, Anaheim, CA 92807-2023(800) 560-0595 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Degc Enterprises US Inc4 organizations share this tax ID, including this one
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.

Member of 2

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

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.

Verify at the official NPI Registry.