Nationwide Prime Medical Supplies, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NATIONWIDE PRIME MEDICAL SUPPLIES, LLC

Practice address

2575 Pio Pico Dr
Suite100
Carlsbad, CA 92008-1561

Phone

(760) 994-0336

Fax

(760) 994-0341

NPI assigned

Apr 26, 2017

Organization subpart

Yes

Parent organization

NATIONWIDE PRIME MEDICAL SUPPLIES, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Arrabelle Gomez

Title

President

Phone

(760) 861-8566

Specialties & licenses 2

Addresses

Part of

Nationwide Prime Medical Supplies LLC

Locations

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1861927923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 PIO PICO DR",
            "address_2": "SUITE100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081561",
            "telephone_number": "760-994-0336",
            "fax_number": "760-994-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 PIO PICO DR",
            "address_2": "SUITE100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081561",
            "telephone_number": "760-994-0336",
            "fax_number": "760-994-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE PRIME MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONWIDE PRIME MEDICAL SUPPLIES, LLC",
        "enumeration_date": "2017-04-26",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ARRABELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-861-8566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.