NPIMap

Organization Active NPI

Super Care, LLC

  • Community/Retail Pharmacy
  • City of Industry, CA
National Provider Identifier
1902863202
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUPER CARE, LLC
Practice address
16017 Valley Blvd
City of Industry, CA 91744-5424
Phone
(800) 206-4880
Fax
(626) 854-2278
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Mr. John L. Cassar
Title
Ceo
Phone
(626) 854-2283

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X BS7954375 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

16017 Valley Blvd
City of Industry, CA 91744-5424

Mailing address

16017 Valley Blvd
City of Industry, CA 91744-5424
Phone (626) 854-2283

Other names 2

  • SUPERCARE Doing business as
  • SuperCare Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930000776 CA DME Supplier - PharmacyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Respiratory Therapist 7214093038 Practice locations: City of Industry, CA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Supercare Health16017 Valley Blvd, City of Industry, CA 91744-5424(800) 206-4880 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospit… Accepts assignmentParticipating since Oct 12, 2018

National Provider Directory

National Provider Directory
Tax ID family
Super Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3335 Pegasus Dr
Apt 308
Bakersfield, CA 93308

1637 E Del Amo Blvd
Carson, CA 90746

505 Watt Dr
Ste 3
Fairfield, CA 94534
Phone (707) 864-4343

4180 W Alamos Ave
Ste 106
Fresno, CA 93722

2320 Del Monte Ave
Bldg B1
Monterey, CA 93940

870 E Research Dr
Ste 12
Palm Springs, CA 92262

7243 Engineer Rd
San Diego, CA 92111

14731 Franklin Ave
Ste Hi
Tustin, CA 92780

12176 Industrial Blvd
Ste 4
Victorville, CA 92395

399 Business Park Ct
Ste 403
Windsor, CA 95492

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1902863202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 VALLEY BLVD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917445424",
            "telephone_number": "626-854-2283",
            "fax_number": "626-854-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16017 VALLEY BLVD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917445424",
            "telephone_number": "800-206-4880",
            "fax_number": "626-854-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-854-2283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "BS7954375",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SuperCare Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.