Organization Active NPI

Procare Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Commerce, CA
National Provider Identifier
1811811300
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROCARE MEDICAL SUPPLY INC
Practice address
4426 E Washington Blvd Unit a
Commerce, CA 90023-4411
Phone
(747) 240-4088
NPI assigned
Aug 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Salvador Centeno
Title
Owner
Phone
(747) 240-4088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4426 E Washington Blvd Unit a
Commerce, CA 90023-4411

Mailing address

4426 E Washington Blvd Unit a
Commerce, CA 90023-4411
Phone (747) 240-4088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1811811300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 E WASHINGTON BLVD UNIT A",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900234411",
            "telephone_number": "747-240-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 E WASHINGTON BLVD UNIT A",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900234411",
            "telephone_number": "747-240-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "CENTENO",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-240-4088"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.