Organization Active NPI

Wilbur Home Health Care & Medical Supply Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Azusa, CA
National Provider Identifier
1801518980
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
WILBUR HOME HEALTH CARE & MEDICAL SUPPLY INC
Practice address
123 E Foothill Blvd
Azusa, CA 91702-2512
Phone
(626) 458-1500
Fax
(626) 458-1200
NPI assigned
Sep 14, 2022
Reactivated
Aug 27, 2025
Organization subpart
Yes
Parent organization
WILBUR HOME HEALTH CARE & MEDICAL SUPPLY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Nabil Helmy Hakim
Title
Ceo
Phone
(626) 458-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

123 E Foothill Blvd
Azusa, CA 91702-2512

Mailing address

123 E Foothill Blvd
Azusa, CA 91702-2512
Phone (626) 458-1500

Other names 1

  • AA Medical Supply Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL AAzusamedical@gmail.com Direct

National Provider Directory

National Provider Directory
Part of
Wilbur Home Health Care Medical Supply Inc

Locations

16023 Arrow Hwy
Ste De
Irwindale, CA 91706
Phone (626) 458-1500

415 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 458-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801518980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E FOOTHILL BLVD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022512",
            "telephone_number": "626-458-1500",
            "fax_number": "626-458-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E FOOTHILL BLVD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022512",
            "telephone_number": "626-458-1500",
            "fax_number": "626-458-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR HOME HEALTH CARE & MEDICAL SUPPLY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILBUR HOME HEALTH CARE & MEDICAL SUPPLY INC",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-09-11",
        "certification_date": "2022-09-14",
        "deactivation_date": "2025-04-30",
        "reactivation_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "HELMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-458-1500"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AAzusamedical@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 E Foothill Blvd",
            "city": "Azusa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917022512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AA Medical Supply Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.