WEST COAST DME & SUPPLIES LLC (NPI# 1255998290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255998290 |
| Entity Type | Organization |
| Organization Name | WEST COAST DME & SUPPLIES LLC |
| Practice Address |
8322 Clairemont Mesa Blvd Ste 105 San Diego CA 92111-1317 |
| Mailing Address |
1835 Chicago Ave Ste A Riverside CA 92507-2309 |
| Practice Telephone | 9094773117 |
| Practice Fax Number | 9093039244 |
| Mailing Telephone | 9094773117 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | MR. MICHAEL GREGORY WELLS (PRESIDENT) |
| Authorized Official Telephone | 9099083920 |
| Authorized Official Credential | C.PED |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST COAST DME & SUPPLIES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| OrthoKinetix | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689189664 | West Coast Dme & Supplies LLC | Durable Medical Equipment & Medical Supplies | 30101 Agoura Ct Ste 114, Agoura Hills, CA 91301-4301 | 2017-12-12 |
| 1376883660 | West Coast Dme & Supplies LLC | Prosthetic/Orthotic Supplier | 1835 Chicago Ave., Unit A, Riverside, CA 92507 | 2013-02-22 |
| Street Address |
8322 CLAIREMONT MESA BLVD STE 105 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| 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. |
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| 1598385866 | Modern Therapies LLC | Durable Medical Equipment & Medical Supplies | 2870 4th Ave Apt 401, San Diego, CA 92103-6273 | 2020-04-16 |
| 1639707060 | Derma Hair Group | Durable Medical Equipment & Medical Supplies | 5703 Oberlin Dr Ste 302, San Diego, CA 92121-1743 | 2020-03-31 |
| 1205464658 | Proactive Care Pharmacy, LLC. | Durable Medical Equipment & Medical Supplies | 7345 Linda Vista Rd Ste E, San Diego, CA 92111-5800 | 2020-03-31 |
| 1619502788 | Inova Labs Inc. | Durable Medical Equipment & Medical Supplies | 7581 Convoy Ct, San Diego, CA 92111-1113 | 2020-03-09 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1972147825 | Binyam Gebregziaber Gebrehiwot I | Durable Medical Equipment & Medical Supplies | 4951 68th St, San Diego, CA 92115-1704 | 2019-11-04 |
| 1801438841 | Goodchoice Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 4760 Mission Gorge Pl Ste D, San Diego, CA 92120-4230 | 2019-10-10 |
| 1366090029 | Shur-in, Inc. | Durable Medical Equipment & Medical Supplies | 7452 Rowena Street, San Diego, CA 92119-1241 | 2019-08-27 |
| Find all providers in SAN DIEGO | ||||
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| 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.