Organization Active NPI

Welcome Medical Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Garden Grove, CA
National Provider Identifier
1972671683
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101398 Issued in CA
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

Updated by the provider on Aug 3, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME02984FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040658 CA DME Supplier - Medical Supply Company With Orthotic Personnel 9638299506 Practice locations: Garden Grove, CA

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
Welcome Medical Supplies Inc9240 Garden Grove Blvd, Garden Grove, CA 92844-1400(714) 530-5664 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 assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory
Tax ID family
Welcome Medical Supplies Inc2 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.

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.

Verify at the official NPI Registry.