NPIMap

Organization Active NPI

Diamond Medical Equipment L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Gilbert, AZ
National Provider Identifier
1962552943
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIAMOND MEDICAL EQUIPMENT L.L.C.
Practice address
1324 North Farrell Court
102
Gilbert, AZ 85233-1945
Phone
(480) 926-4363
Fax
(480) 926-4364
NPI assigned
Jan 11, 2007
Last updated
Dec 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Mike Factor
Title
C.E.O.
Phone
(480) 926-4363

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 20018536 AZ

Addresses

Primary practice location

1324 North Farrell Court
102
Gilbert, AZ 85233-1945

Mailing address

1324 North Farrell Court
102
Gilbert, AZ 85233-1945
Phone (480) 926-4363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930030994 AZ DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 5890903090 Practice locations: Gilbert, AZ

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
Diamond Medical Equipment LLC1324 N Farrell CT, Gilbert, AZ 85233-1945(480) 926-4363 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or S… Does not accept assignmentParticipating since Apr 26, 2004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1962552943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 NORTH FARRELL COURT",
            "address_2": "102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331945",
            "telephone_number": "480-926-4363",
            "fax_number": "480-926-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 NORTH FARRELL COURT",
            "address_2": "102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331945",
            "telephone_number": "480-926-4363",
            "fax_number": "480-926-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND MEDICAL EQUIPMENT L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "FACTOR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "480-926-4363"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "20018536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.