Organization Active NPI

Primecare Supplies & Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Fontana, CA
National Provider Identifier
1912858705
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIMECARE SUPPLIES & SERVICES LLC
Practice address
14671 Mallory Dr
Fontana, CA 92335-7228
Phone
(909) 243-6275
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Umair Ahmed
Title
Owner
Phone
(909) 243-6275

Specialties & licenses 1

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

Addresses

Primary practice location

14671 Mallory Dr
Fontana, CA 92335-7228

Mailing address

3642 N Garey Ave Apt 37
Pomona, CA 91767-1103

National Provider Directory

National Provider Directory

Locations

14671 Mallory Dr
Fontana, CA 92335
Phone (909) 243-6275

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1912858705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 N GAREY AVE APT 37",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14671 MALLORY DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357228",
            "telephone_number": "909-243-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE SUPPLIES & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "UMAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-243-6275"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.