Dmesup Provider LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DMESUP PROVIDER LLC

Practice address

1251 N Placentia Ave Apt 222
Anaheim, CA 92806-1559

Phone

(209) 432-5576

Fax

(209) 432-5590

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Shahid Ali

Title

Ceo

Phone

(804) 767-1288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1811779358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 N PLACENTIA AVE APT 222",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061559",
            "telephone_number": "209-432-5576",
            "fax_number": "209-432-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 N PLACENTIA AVE APT 222",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061559",
            "telephone_number": "209-432-5576",
            "fax_number": "209-432-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMESUP PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-767-1288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.