JM Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0885210001 Issued in CA

Legal business name

JM MEDICAL SUPPLIES, INC.

Practice address

8900 Benson Ave
Ste. L
Montclair, CA 91763-1669

Phone

(909) 608-1779

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

John O'Brien

Title

President

Phone

(909) 608-1779

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831154665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 BENSON AVE",
            "address_2": "STE. L",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631669",
            "telephone_number": "909-608-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 BENSON AVE",
            "address_2": "STE. L",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631669",
            "telephone_number": "909-608-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-608-1779"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0885210001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02182F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jihua Cao DDS, Apc
• Jazmin Jimenez
• Natalie Cielo Jimenez
• Paige Alexandra Jimenez
• Sylvia Jimenez
• John Daliva, DO Inc
• Chastity Johnson
• Ebenezer Johnson, DDS FAGD
• Luke Samuel Johnson
• Lynntonia Shimekia Johnson

• Durable Medical Equipment & Medical Supplies in Montclair, CA
• Providers in Montclair, 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 Aug 22, 2020; 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.