Maple Medical Supply Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

103613 Issued in CA

Legal business name

MAPLE MEDICAL SUPPLY INC

Doing business as

Maple Medical Supply

Practice address

228 N L St
Dinuba, CA 93618-2106

Phone

(559) 591-6008

NPI assigned

Aug 23, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leo Sunglin Wang

Title

Ceo/President

Phone

(559) 469-3686

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Maple Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861509259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N L ST",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936182106",
            "telephone_number": "559-591-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N L ST",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936182106",
            "telephone_number": "559-591-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "SUNGLIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "559-469-3686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "103613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03225F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "ZZZ66519Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Araceli Lucatero
• Kimmie Ly, PHARM.D
• Ma Victoria Ruiz DDS Inc
• Xochitl Machado Loyola, ACSW
• Siamak Mahdavi
• Mariaelena Nieto (Dinuba Medical Supply)
• Alison Markley
• Rosanna M Marquez
• Christina Marroquin Martinez
• Shaun Robert Matsumoto, D.C.

• Oxygen Equipment & Supplies (DME) in Dinuba, CA
• Providers in Dinuba, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.