Organization Active NPI

Cindy Wiemann

  • Durable Medical Equipment & Medical Supplies
  • Irvine, CA
National Provider Identifier
1821083965
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100528 Issued in CA
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

Updated by the provider on Jun 24, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME020128FMedicaidCA

Other names 1

  • omni medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930080217 CA DME Supplier - Medical Supply Company 3577684729 Practice locations: Irvine, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Omni Medical9272 Jeronimo Rd, Irvine, CA 92618-1914949598841914 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 assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.