Organization Active NPI

Desert Medical Equipment, Inc

  • Oxygen Equipment & Supplies (DME)
  • Victorville, CA
National Provider Identifier
1730157009
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
9850 Issued in CA
Legal business name
DESERT MEDICAL EQUIPMENT, INC
Practice address
17189 Yuma St
Victorville, CA 92395-5886
Phone
(760) 247-2903
Fax
(760) 247-9254
NPI assigned
Mar 10, 2006
Organization subpart
Yes
Parent organization
AERO MOBILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Mr. Kamran Meshkani
Title
Cfo
Phone
(714) 835-1000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100426 CA
Oxygen Equipment & Supplies (DME) 332BX2000X 9850 CA Primary
Prosthetic/Orthotic Supplier 335E00000X C51519 CA
Prosthetic/Orthotic Supplier 335E00000X C22409 CA

Addresses

Primary practice location

17189 Yuma St
Victorville, CA 92395-5886

Mailing address

1001 N Weir Canyon Blvd
Anaheim, CA 92807-2517
Phone (714) 835-1000

Other identifiers 1

IdentifierTypeStateIssuer
1730157009MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930066319 CA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Oxygen & Equipment 3476674847 Practice locations: Victorville, CA

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
Desert Medical Equipment Inc17189 Yuma St, Victorville, CA 92395-5886(760) 246-1000 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Neuromuscular Elect Stimulators (NMES)/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Pow… Accepts assignmentParticipating since Aug 2, 1999

National Provider Directory

National Provider Directory
Part of
Aero Mobility Inc

Member of 1

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

Locations

13630 Pawnee Rd
Ste 4
Apple Valley, CA 92308

17189 Yuma St
Victorville, CA 92395
Phone (760) 247-2903

17189 Yuma St
Ste 2
Victorville, CA 92395

12402 Industrial Blvd
Ste F2
Victorville, CA 92395

14673 Civic Dr
Victorville, CA 92394
Phone 76024610003202

17189 Yuma St
Unit 2
Victorville, CA 92395
Phone 76024610003202

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1730157009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N WEIR CANYON BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072517",
            "telephone_number": "714-835-1000",
            "fax_number": "714-973-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 YUMA ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955886",
            "telephone_number": "760-247-2903",
            "fax_number": "760-247-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AERO MOBILITY",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "MESHKANI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-835-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100426",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "9850",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C51519",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C22409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730157009",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.