Organization Active NPI

Prime Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Fullerton, CA
National Provider Identifier
1801605605
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 23, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.