PS MEDICAL SUPPLIES INC (NPI# 1174044101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174044101 |
| Entity Type | Organization |
| Organization Name | PS MEDICAL SUPPLIES INC |
| Practice Address |
24594 Sunnymead Blvd Suite M Moreno Valley CA 92553 |
| Mailing Address |
24594 Sunnymead Blvd Ste M Moreno Valley CA 92553-3730 |
| Practice Telephone | (800) 310-6033 |
| Practice Fax Number | 9095992181 |
| Mailing Telephone | 8003106033 |
| Mailing Fax Number | 9095992181 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | LAURA NADINE FOX (CEO) |
| Authorized Official Telephone | 8003106033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
96536 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HMDR LICENSE # | 96536 | 01 |
| Street Address |
24594 SUNNYMEAD BLVD SUITE M |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| 1184030769 | Thanos Dds Inc | Clinic/Center | 24104 Sunnymead Blvd # C, Moreno Valley, CA 92553 | 2014-07-03 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114209533 | Robert Christopher Craig | Durable Medical Equipment & Medical Supplies | 26014 Mirage Ct, Moreno Valley, CA 92555-1773 | 2011-09-12 |
| 1043332794 | Patricia Mann | Durable Medical Equipment & Medical Supplies | 14161 Elsworth St, Suite C, Moreno Valley, CA 92553-9007 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967259 | Tarlani Corp. | Durable Medical Equipment & Medical Supplies | 315 Arden Ave Ste 4, Glendale, CA 91203-1165 | 2020-09-17 |
| 1649803545 | Martha Ortega | Durable Medical Equipment & Medical Supplies | 3888 Sage Hill Pl, Santa Rosa, CA 95404-7696 | 2020-02-19 |
| 1568094001 | Bans Healthcare Group, Inc. | Durable Medical Equipment & Medical Supplies | 31133 Via Colinas Ste 103, Westlake Village, CA 91362-4519 | 2020-02-11 |
| 1992343867 | Oxygen Services Southwest LLC | Durable Medical Equipment & Medical Supplies | 13396 Contour Dr, Sherman Oaks, CA 91423-4802 | 2019-12-11 |
| 1538702568 | Can-al Medical Supplies | Durable Medical Equipment & Medical Supplies | 6650 Fair Oaks Blvd, Carmichael, CA 95608-4026 | 2019-10-22 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326607011 | Herocare LLC | Durable Medical Equipment & Medical Supplies | 12598 Central Ave Ste 109, Chino, CA 91710-3500 | 2019-06-06 |
| 1205300050 | Expedite LLC | Durable Medical Equipment & Medical Supplies | 8910 University Center Ln Ste 400, San Diego, CA 92122-1025 | 2019-01-15 |
| 1073093746 | Sgr Medical Solutions L.L.C. | Durable Medical Equipment & Medical Supplies | 2717 Cabernet Way, Rancho Cordova, CA 95670-4811 | 2018-08-21 |
| 1134607120 | Pulmonic Health, LLC | Durable Medical Equipment & Medical Supplies | 402 W Bedford Ave Ste 103, Fresno, CA 93711-6884 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on PS MEDICAL SUPPLIES 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.