Organization Active NPI

Nne Medical Supply and Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
National Provider Identifier
1932553310
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NNE MEDICAL SUPPLY AND EQUIPMENT, INC.
Practice address
617 N Euclid St
Anaheim, CA 92801-4623
Phone
(866) 759-0683
Fax
(866) 759-0684
NPI assigned
Apr 21, 2016
Last updated
Jan 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Charina G Berroya
Title
Director
Phone
(818) 209-9172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

617 N Euclid St
Anaheim, CA 92801-4623

Mailing address

617 N Euclid St
Anaheim, CA 92801-4623
Phone (714) 430-8570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028000156 CA DME Supplier - Medical Supply Company 0345442158 Practice locations: Anaheim, CA

Other NPIs with the same Medicare PAC ID 1

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
Nne Medical Supply and Equipment617 N Euclid St, Anaheim, CA 92801-4623(866) 476-4633 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manual Rel Accessories)|Wheelchairs (Comple… Does not accept assignmentParticipating since Apr 11, 2006

National Provider Directory

National Provider Directory
Tax ID family
Nne Medical Supply Equipment Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

617 N Euclid St
Anaheim, CA 92801
Phone (866) 759-0683

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1932553310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014623",
            "telephone_number": "714-430-8570",
            "fax_number": "626-337-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014623",
            "telephone_number": "866-759-0683",
            "fax_number": "866-759-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNE MEDICAL SUPPLY AND EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "BERROYA",
        "authorized_official_first_name": "CHARINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-209-9172"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.