Active NPI
Medical Oxygen & Supplies Inc
- Durable Medical Equipment & Medical Supplies
- Brea, CA
National Provider Identifier
1740757897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190502000990 | CA | DME Supplier - Medical Supply Company | 6507108065 | Practice locations: Brea, CA |
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 |
|---|---|---|
| Medical Oxygen & Supplies, Inc. | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.