Organization Active NPI

Medi-Le Medical Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Elk Grove, CA
National Provider Identifier
1912138256
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDI-LE MEDICAL SUPPLIES, INC
Practice address
7811 Laguna Blvd Ste 180
Elk Grove, CA 95758-7949
Phone
(916) 478-2634
Fax
(916) 478-2563
NPI assigned
Aug 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Diem T Nguyen, DCNPI 1710960208
Title
Owner
Phone
(916) 478-2634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7811 Laguna Blvd Ste 180
Elk Grove, CA 95758-7949

Mailing address

7811 Laguna Blvd Ste 180
Elk Grove, CA 95758-7949
Phone (916) 478-2634

National Provider Directory

National Provider Directory

Locations

7811 Laguna Blvd
Ste 180
Elk Grove, CA 95758
Phone (916) 478-2634

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": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1912138256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 LAGUNA BLVD STE 180",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587949",
            "telephone_number": "916-478-2634",
            "fax_number": "916-478-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 LAGUNA BLVD STE 180",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587949",
            "telephone_number": "916-478-2634",
            "fax_number": "916-478-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-LE MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-478-2634",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.