Organization Active NPI

Paracelsus Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Folsom, CA
National Provider Identifier
1942112461
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PARACELSUS MEDICAL SUPPLY LLC
Practice address
2300 Iron Point Rd Apt 711
Folsom, CA 95630-8493
Phone
(916) 862-5414
NPI assigned
Sep 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Rodrigo Agnes Obedoza
Title
Manager
Phone
(916) 862-5414

Specialties & licenses 1

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

Addresses

Primary practice location

2300 Iron Point Rd Apt 711
Folsom, CA 95630-8493

Mailing address

2300 Iron Point Rd Apt 711
Folsom, CA 95630-8493
Phone (916) 862-5414

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1942112461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 IRON POINT RD APT 711",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308493",
            "telephone_number": "916-862-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 IRON POINT RD APT 711",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308493",
            "telephone_number": "916-862-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARACELSUS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "OBEDOZA",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-862-5414"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.