Active NPI
Cindy Wiemann
- Durable Medical Equipment & Medical Supplies
- Irvine, CA
National Provider Identifier
1821083965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 100528
- Legal business name
- CINDY WIEMANN
- Practice address
- 9272 Jeronimo Rd
St#120
Irvine, CA 92618-1913 - Phone
- (949) 598-8419
- Fax
- (949) 598-8420
- NPI assigned
- Sep 14, 2005
- 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
- Ms. Cindy Ann Wiemann
- Title
- Owner
- Phone
- (949) 598-8419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 100528 | CA | Primary |
Addresses
Primary practice location
9272 Jeronimo Rd
St#120
Irvine, CA 92618-1913
Mailing address
9272 Jeronimo Rd
St#120
Irvine, CA 92618-1913
Phone (949) 598-8419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME020128F | Medicaid | CA |
Other names 1
- omni medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930080217 | CA | DME Supplier - Medical Supply Company | 3577684729 | Practice locations: Irvine, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Omni Medical | Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift … | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
9272 Jeronimo Rd
Ste 120
Irvine, CA 92618
Phone (949) 598-8419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1821083965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9272 JERONIMO RD",
"address_2": "ST#120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181913",
"telephone_number": "949-598-8419",
"fax_number": "949-598-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9272 JERONIMO RD",
"address_2": "ST#120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181913",
"telephone_number": "949-598-8419",
"fax_number": "949-598-8420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CINDY WIEMANN",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-14",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "WIEMANN",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-598-8419",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "100528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME020128F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "omni medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.