Active NPI
Welcome Medical Supplies, Inc
- Durable Medical Equipment & Medical Supplies
- Garden Grove, CA
National Provider Identifier
1972671683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 101398
- Legal business name
- WELCOME MEDICAL SUPPLIES, INC
- Practice address
- 9240 Garden Grove Blvd Ste 13
Garden Grove, CA 92844-1400 - Phone
- (714) 530-5664
- Fax
- (714) 530-0860
- NPI assigned
- Dec 1, 2006
- 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
- Mrs. Grace E Kim
- Title
- President
- Phone
- (714) 530-5664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 101398 | CA | Primary |
Addresses
Primary practice location
9240 Garden Grove Blvd Ste 13
Garden Grove, CA 92844-1400
Mailing address
9240 Garden Grove Blvd Ste 13
Garden Grove, CA 92844-1400
Phone (714) 530-5664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02984F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040658 | CA | DME Supplier - Medical Supply Company With Orthotic Personnel | 9638299506 | Practice locations: Garden Grove, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Welcome Medical Supplies Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators an… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Welcome Medical Supplies Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Garden Grove, CA
- NPI 1215289756
Locations
9240 Garden Grove Blvd
Ste 13
Garden Grove, CA 92844
Phone (714) 309-5790
9520 Garden Grove Blvd
Ste 15
Garden Grove, CA 92844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659484800000",
"number": "1972671683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9240 GARDEN GROVE BLVD STE 13",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441400",
"telephone_number": "714-530-5664",
"fax_number": "714-530-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9240 GARDEN GROVE BLVD STE 13",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441400",
"telephone_number": "714-530-5664",
"fax_number": "714-530-0860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELCOME MEDICAL SUPPLIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "GRACE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-530-5664",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "101398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME02984F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.