Organization Active NPI

Medaxis Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Concord, CA
National Provider Identifier
1861308983
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDAXIS SUPPLIES LLC
Practice address
5194 Garaventa Dr
Concord, CA 94521-3642
Phone
(917) 588-1357
NPI assigned
Aug 19, 2026
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Qamar Mehmood
Title
Ceo
Phone
(915) 788-1456

Specialties & licenses 1

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

Addresses

Primary practice location

5194 Garaventa Dr
Concord, CA 94521-3642

Mailing address

5194 Garaventa Dr
Concord, CA 94521-3642
Phone (917) 588-1357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1861308983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5194 GARAVENTA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213642",
            "telephone_number": "917-588-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5194 GARAVENTA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213642",
            "telephone_number": "917-588-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAXIS SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "MEHMOOD",
        "authorized_official_first_name": "QAMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-788-1456"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.