Organization Active NPI

Waterstream LLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1902764483
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WATERSTREAM LLC
Practice address
15620 N 35TH Ave Ste 4
Phoenix, AZ 85053-3892
Phone
(602) 993-8090
NPI assigned
Jan 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Olajumoke Ikuseru
Title
Manager
Phone
(602) 993-8090

Specialties & licenses 1

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

Addresses

Primary practice location

15620 N 35TH Ave Ste 4
Phoenix, AZ 85053-3892

Mailing address

15620 N 35TH Ave Ste 4
Phoenix, AZ 85053-3892
Phone (602) 993-8090

National Provider Directory

National Provider Directory

Locations

15620 N 35th Ave
Ste 4
Phoenix, AZ 85053
Phone (602) 993-8090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1902764483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 N 35TH AVE STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533892",
            "telephone_number": "602-993-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 N 35TH AVE STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533892",
            "telephone_number": "602-993-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSTREAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "IKUSERU",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-993-8090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.