Professional Health Media Services, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROFESSIONAL HEALTH MEDIA SERVICES, INC

Doing business as

Homecare Medical Supply

Practice address

25244 Redlands Blvd
Loma Linda, CA 92354-1924

Phone

(909) 796-6996

Fax

(909) 799-6620

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Harold F Googe

Title

President

Phone

(909) 796-6996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homecare Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841348216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "address_2": "25244 REDLANDS BLVD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540922",
            "telephone_number": "909-796-6996",
            "fax_number": "909-799-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25244 REDLANDS BLVD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541924",
            "telephone_number": "909-796-6996",
            "fax_number": "909-799-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH MEDIA SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOOGE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-796-6996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00159F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homecare Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John C Prince, M.D.
• Patricia Principe
• Irene Paula Printzian, CRNA
• Gary B Prior, CRNA
• Marilyn K Prior, P.T.
• Crystal Nicole Pruitt, MD
• Allison Antoinette Przekop, DO
• Robin Pueschel, NP
• Christian Puga, DO
• Jesica Pulido, M.D.

• Durable Medical Equipment & Medical Supplies in Loma Linda, CA
• Providers in Loma Linda, 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.