Organization Active NPI

Wesco Medical Supply&Equipment Co

  • Durable Medical Equipment & Medical Supplies
  • Colton, CA
National Provider Identifier
1760417323
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DME02460F Issued in CA
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

Updated by the provider on Dec 14, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.