BEACHWOOD MEDICAL SUPPLY, INC (NPI# 1083885768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083885768 |
| Entity Type | Organization |
| Organization Name | BEACHWOOD MEDICAL SUPPLY, INC |
| Other Organization Name | BEACHWOOD MEDICAL SUPPLY |
| Practice Address |
13851 Garvey Ave Suite B3 Baldwin Park CA 91706-4910 |
| Practice Telephone | 6263385300 |
| Practice Fax Number | 6263385800 |
| Mailing Telephone | 6263385300 |
| Mailing Fax Number | 6263385800 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2013-08-12 |
| Authorized Official Name | DR. MAHER KALDAS (CEO/RPH) |
| Authorized Official Telephone | 6263385300 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
49803 | CA | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
49803 | CA | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
49803 | CA | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 49803 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MP00845 | NV | Suppliers |
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
MP00845 | NV | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
MP00845 | NV | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
MP00845 | NV | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | MP00845 | NV | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 49803 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HOME MEDICAL DEVICE RETAIL LICENSE | 49803 | 01 |
| CA | 1083885768 | 05 | |
| CA | HOME FURNISHINGS/THERMAL | 152161 | 01 |
| NV | NEVADA STATE BOARD OF PHARMACY, MEDICAL DEVICES, EQUIPMENT, GAS | MP00845 | 01 |
| Other Name | Type Code |
|---|---|
| Beachwood Medical Supply | Doing Business As Name - Organization |
| Street Address |
13851 GARVEY AVE SUITE B3 |
| City | BALDWIN PARK |
| State | CA |
| Zip Code | 91706-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699717694 | K and S Owl Inc | Pharmacy | 13851 Garvey Ave, Unit A, Baldwin Park, CA 91706-4913 | 2006-06-12 |
| 1477096378 | Mariam A Youssef | Pharmacist | 13851 Garvey Ave, Baldwin Park, CA 91706-4913 | 2016-11-23 |
| 1326321621 | Enas Hanna | Pharmacist | 13851 Garvey Ave, Ste A, Baldwin Park, CA 91706-4913 | 2011-09-22 |
| 1669551644 | Maher Kaldas | Pharmacist | 13851 Garvey Ave, Baldwin Park, CA 91706-4913 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206700 | Sistine Manor Inc | Assisted Living Facility | 12755 Torch St, Baldwin Park, CA 91706 | 2019-10-09 |
| 1891268850 | Rodriguez Cruz Dental, Inc. | Clinic/Center | 14323 Ramona Blvd., Baldwin Park, CA 91706 | 2019-01-02 |
| 1942788633 | Desiree Montoya | Counselor | 13030 Ramona Blvd Unit 65, Baldwin Park, CA 91706 | 2018-08-03 |
| 1861978215 | Cassidy Alyse Harton | Counselor | 4514 Grace Ave, Baldwin Park, CA 91706 | 2018-07-18 |
| 1881146751 | Melissa Valenzuela | Nurse Practitioner | 14362 E. Ramona Blvd, Baldwin Park, CA 91706 | 2016-10-26 |
| 1629524228 | Trosclair Seals | Counselor | 36 S Kinneola Ave, Pasad, CA 91706 | 2016-09-01 |
| 1487025854 | Janeth Estevez | Case Manager/Care Coordinator | 14123 Masline St, Baldwin Park, CA 91706 | 2015-10-12 |
| 1932579570 | Bls Dental Group | Clinic/Center | 14032 Ramona Blvd., Bladwin Park, CA 91706 | 2015-09-25 |
| 1487068748 | Prakash P. Patel D.ds Inc | Dentist | 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 | 2014-06-16 |
| 1295076891 | Julia Lauria | Rehabilitation Practitioner | 11317 Rmaona Blvd., Ste.c, Irwindale, CA 91706 | 2013-03-06 |
| Find all providers in zip 91706 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811142235 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 14102 Ramona Blvd, Baldwin Park, CA 91706-3138 | 2008-11-26 |
| 1962521773 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3151 Baldwin Park (nwc), Baldwin Park, CA 91706 | 2007-03-29 |
| 1215046685 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 14121 Ramona Boulevard, Baldwin Park, CA 91706-3146 | 2006-08-30 |
| 1528085750 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3250 Big Dalton Ave, Baldwin Park, CA 91706-5107 | 2006-07-16 |
| 1053352963 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1550 Puente Ave, Baldwin Park, CA 91706-5923 | 2006-06-10 |
| 1053596452 | M A Jimenez Inc | Durable Medical Equipment & Medical Supplies | 14300 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316192 | Ramon D Riego Jr. | Durable Medical Equipment & Medical Supplies | 12371 Lewis St Ste 202, Garden Grove, CA 92840-4688 | 2020-11-04 |
| 1447851001 | Christy Ann Packard | Durable Medical Equipment & Medical Supplies | 11130 Linda Dr, Auburn, CA 95602-9232 | 2020-11-02 |
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1023618709 | S & K Dme LLC | Durable Medical Equipment & Medical Supplies | 9910 Irvine Center Dr Bldg 7, Irvine, CA 92618-4357 | 2020-10-30 |
| 1942800800 | Ade Medical and Equipments Suppliers, LLC | Durable Medical Equipment & Medical Supplies | 14205 Inglewood Ave, Hawthorne, CA 90250-6729 | 2020-10-29 |
| 1689274755 | Genesis Hcp of Orange County | Durable Medical Equipment & Medical Supplies | 11552 Knott St # C11, Garden Grove, CA 92841-1824 | 2020-10-28 |
| 1376143479 | Impakt Medical, LLC | Durable Medical Equipment & Medical Supplies | 14125 Capri Dr Ste 8, Los Gatos, CA 95032-1516 | 2020-10-28 |
| 1811596901 | Kd Medical Inc | Durable Medical Equipment & Medical Supplies | 4565 Monaco Ct, Orcutt, CA 93455-4073 | 2020-10-20 |
| 1710585161 | Interlang LLC Dba Montgomery Dme | Durable Medical Equipment & Medical Supplies | 14109 Pontlavoy Ave, Santa Fe Spgs, CA 90670-4934 | 2020-10-16 |
| 1700484219 | Oa Medicals LLC | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave Ste 203, Los Angeles, CA 90047-3057 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | BALDWIN PARK |
| Zip Code | 91706 |
Please comment or provide details below to improve the information on BEACHWOOD MEDICAL SUPPLY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.