Active NPI
Wesco Medical Supply&Equipment Co
- Durable Medical Equipment & Medical Supplies
- Colton, CA
National Provider Identifier
1760417323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- DME02460F
- Legal business name
- WESCO MEDICAL SUPPLY&EQUIPMENT CO
- Practice address
- 1359 N Mount Vernon Ave
Colton, CA 92324-2561 - Phone
- (909) 370-0335
- NPI assigned
- Jul 12, 2006
- 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
- William O. Amudipe, DME
- Title
- President/Ceo
- Phone
- (909) 370-0335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DME02460F | CA | Primary |
Addresses
Primary practice location
1359 N Mount Vernon Ave
Colton, CA 92324-2561
Mailing address
1359 N Mount Vernon Ave
Colton, CA 92324-2561
Phone (909) 370-0335
National Provider Directory
National Provider DirectoryLocations
6350 W Ramsey St
Ste P
Banning, CA 92220
Phone (951) 769-0614
1359 N Mount Vernon Ave
Colton, CA 92324
Phone (909) 370-0335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1760417323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1359 N MOUNT VERNON AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923242561",
"telephone_number": "909-370-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 N MOUNT VERNON AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923242561",
"telephone_number": "909-370-0335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESCO MEDICAL SUPPLY&EQUIPMENT CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "AMUDIPE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "909-370-0335",
"authorized_official_credential": "DME"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "DME02460F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.