Active NPI
Calicare Med Supplies LLC
- Durable Medical Equipment & Medical Supplies
- La Jolla, CA
National Provider Identifier
1972301620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CALICARE MED SUPPLIES LLC
- Practice address
- 4225 Executive Square
Ste 600 Unit 31
La Jolla, CA 92037 - Phone
- (858) 222-4705
- NPI assigned
- Mar 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sameh A Ahmed
- Title
- Owner
- Phone
- (858) 222-4705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4225 Executive Square
Ste 600 Unit 31
La Jolla, CA 92037
Mailing address
4225 Executive Square
Ste 600 Unit 31
La Jolla, CA 92037
Phone (858) 222-4705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260114002544 | CA | DME Supplier - Medical Supply Company | 2163908609 | Practice locations: La Jolla, CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741219200000",
"number": "1972301620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 EXECUTIVE SQUARE",
"address_2": "STE 600 UNIT 31",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-222-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 EXECUTIVE SQUARE",
"address_2": "STE 600 UNIT 31",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-222-4705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALICARE MED SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "SAMEH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-222-4705"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
- Julia Meghan Cain, NP
- Annamaria Calabro, M.D.
- Mary Ann Calcott, DDS
- Joshua Alan Caldwell, D.C.
- Kelsey Caldwell, PA-C
- California Cancer Associates for Research and Excellence Inc
- California Cancer Associates for Research and Excellence, Inc.
- California Center for Neurointerventional Surgery
- California Concierge Medical & Wellness, Inc.
- California Hearing and Balance Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.