Organization Active NPI

Alma Medical Supplies and Distributors Corporation

  • Durable Medical Equipment & Medical Supplies
  • Corona, CA
National Provider Identifier
1962622712
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103163 Issued in CA
Legal business name
ALMA MEDICAL SUPPLIES AND DISTRIBUTORS CORPORATION
Practice address
1490 W Rincon St
Suite E
Corona, CA 92880-9200
Phone
(951) 371-2562
Fax
(951) 371-9490
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Edmund Agyin
Title
President
Phone
(951) 371-2562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103163 CA Primary

Addresses

Primary practice location

1490 W Rincon St
Suite E
Corona, CA 92880-9200

Mailing address

1490 W Rincon St
Suite E
Corona, CA 92880-9200
Phone (951) 371-2562

Other identifiers 1

IdentifierTypeStateIssuer
DME03370FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Alma Medical Supplies and Distributors Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1962622712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W RINCON ST",
            "address_2": "SUITE E",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928809200",
            "telephone_number": "951-371-2562",
            "fax_number": "951-371-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W RINCON ST",
            "address_2": "SUITE E",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928809200",
            "telephone_number": "951-371-2562",
            "fax_number": "951-371-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMA MEDICAL SUPPLIES AND DISTRIBUTORS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "AGYIN",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-371-2562"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03370F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.