Organization Active NPI

Medical Oxygen & Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Brea, CA
National Provider Identifier
1740757897
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL OXYGEN & SUPPLIES INC
Practice address
569 Mercury LN
Brea, CA 92821-4837
Phone
(714) 674-0737
Fax
(714) 674-0739
NPI assigned
Oct 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Mr. Jason John Patrick Obrien
Title
President
Phone
(562) 445-0382

Specialties & licenses 1

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

Addresses

Primary practice location

569 Mercury LN
Brea, CA 92821-4837

Mailing address

569 Mercury LN
Brea, CA 92821-4837
Phone (714) 674-0737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190502000990 CA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 6507108065 Practice locations: Brea, 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
Medical Oxygen & Supplies, Inc.569 Mercury LN, Brea, CA 92821-4837(714) 674-0737 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimu… Accepts assignmentParticipating since Mar 26, 2019

National Provider Directory

National Provider Directory

Locations

569 Mercury Ln
Brea, CA 92821
Phone (714) 674-0737

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1740757897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 MERCURY LN",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214837",
            "telephone_number": "714-674-0737",
            "fax_number": "714-674-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 MERCURY LN",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214837",
            "telephone_number": "714-674-0737",
            "fax_number": "714-674-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OXYGEN & SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JOHN PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-445-0382",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.