Active NPI
Prime Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Fullerton, CA
National Provider Identifier
1801605605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRIME MEDICAL SUPPLY LLC
- Practice address
- 1501 N Harbor Blvd Ste 101
Fullerton, CA 92835-3815 - Phone
- (469) 915-5044
- NPI assigned
- Jan 6, 2025
- 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
- Noman Qasim Brohi
- Title
- Manager
- Phone
- (469) 915-5044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1501 N Harbor Blvd Ste 101
Fullerton, CA 92835-3815
Mailing address
1501 N Harbor Blvd Ste 101
Fullerton, CA 92835-3815
Phone (469) 915-5044
National Provider Directory
National Provider DirectoryLocations
1501 N Harbor Blvd
Ste 101
Fullerton, CA 92835
Phone (714) 213-8035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1801605605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N HARBOR BLVD STE 101",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353815",
"telephone_number": "469-915-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N HARBOR BLVD STE 101",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353815",
"telephone_number": "469-915-5044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "BROHI",
"authorized_official_first_name": "NOMAN",
"authorized_official_middle_name": "QASIM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "469-915-5044"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
- David Pretzinger, D.C.
- Andrea Pribac, ANCP-BC
- Prime Active Physical Therapy, Inc.
- Prime Consult and Care Inc (Placid Psychiatry)
- Prime Healthshare
- Prime Physical Therapy (Prime Physical Therapy Network)
- Prime Senior Care Homes L.L.C (Avalon Guest Home I)
- Prime Wellness Center
- Timothy Anderson Prior
- Priscilla Chan Acupuncture
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.