J.R. Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100849 Issued in CA

Legal business name

J.R. MEDICAL, INC.

Practice address

18003 Sky Park Cir
Ste. H
Irvine, CA 92614-6513

Phone

(949) 955-2920

Fax

(949) 955-1225

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Dawn Bowe

Title

Office Manager

Phone

(949) 955-2920

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1730189937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18003 SKY PARK CIR",
            "address_2": "STE. H",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146513",
            "telephone_number": "949-955-2920",
            "fax_number": "949-955-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18003 SKY PARK CIR",
            "address_2": "STE. H",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146513",
            "telephone_number": "949-955-2920",
            "fax_number": "949-955-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.R. MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "BOWE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-955-2920"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00557G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Dean Mollner MD Inc
• J JS Pharmacy LLC
• J Y Kim Dental Corp
• J. Robert West, M.D., Inc
• J.a. Straw, D.D.S., Inc.
• Ziyad Bahije Jabaji, M.D.
• Andrea M Jackson, BCBA
• Candace Lynn Jackson, MD
• Crystal Rene Jackson
• Daniel Jackson

• Durable Medical Equipment & Medical Supplies in Irvine, CA
• Providers in Irvine, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.