SPECIALTY MEDICAL (NPI# 1477734507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477734507 |
| Entity Type | Organization |
| Organization Name | SPECIALTY MEDICAL |
| Other Organization Name | SPECIALTY MEDICAL |
| Practice Address |
2680 Pomona Blvd Ste B Pomona CA 91768-3272 |
| Practice Telephone | 6266885326 |
| Practice Fax Number | 6265992025 |
| Mailing Telephone | 6266885326 |
| Mailing Fax Number | 8006196826 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | DOUG D SULLIVAN (OWNER) |
| Authorized Official Telephone | 6266885326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY42098 | CA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 25251 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA420980 | 05 |
| Other Name | Type Code |
|---|---|
| specialty medical | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437278363 | Specialty Medical | Durable Medical Equipment & Medical Supplies | 509 N State of Franklin Rd, Suite C, Johnson City, TN 37604-8214 | 2007-03-29 |
| 1306933130 | Specialty Medical | Prosthetic/Orthotic Supplier | 7815 B Oak Ridge Hwy, Knoxville, TN 37931-2314 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SPECIALTY MEDICAL BILLING LLC | 1508 N 57th St, Seattle, WA 98103 |
| Vermont Business Registrations | SPECIALTY MEDICAL DRUG STORE LLC | 264 Center St,po Box 27, Miamiville, OH 45140 |
| Oklahoma Business Registrations | SPECIALTY MEDICAL DRUG STORE LLC | 264 Center St., Suite 1, Box 27, Miamiville, OH 45147 |
| Washington State Corporations | SPECIALTY MEDICAL DRUG STORE, LLC | 525 Alexandria Pike Ste 100, Southgate, KY 41071-3243 |
| Iowa Business Entities | SPECIALTY MEDICAL DRUG STORE, LLC | 525 Alexandria Pike Ste 100, Southgate, KY 41071 |
| System for Award Management (SAM) Entities | SPECIALTY MEDICAL ELECTRONICS, INC. | 69 Tupelo Trace, Mandeville, LA 70471-6740 |
| Connecticut Business Registrations | SPECIALTY MEDICAL EQUIPMENT LLC | 50 Kerry Place, Norwood, MA 02026 |
| System for Award Management (SAM) Entities | SPECIALTY MEDICAL PRODUCTS, INC. | 50 Pennsylvania Ave, Malvern, PA 19355-2417 |
| Indiana Business Entities | SPECIALTY MEDICAL PRODUCTS, LLC | 650 E Pheasant Run Dr, Hobart, IN 46342 |
| New York State Corporations | SPECIALTY MEDICAL SALES, INC. | 292 Madison Avenue, New York, New York 10017 |
| Street Address |
2680 POMONA BLVD STE B |
| City | POMONA |
| State | CA |
| Zip Code | 91768-3272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| 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 |
|---|---|---|---|---|
| 1578935326 | Top Health Products | Durable Medical Equipment & Medical Supplies | 12 Cornell Peak, Pomona, NY 10970-2829 | 2015-10-20 |
| 1174926976 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 778 E Arrow Hwy, Pomona, CA 91767-2270 | 2014-10-07 |
| 1437427473 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 328 West White Horse Pike, Pomona, NJ 08240 | 2011-12-06 |
| 1194958108 | Ja Medical Supplies. | Durable Medical Equipment & Medical Supplies | 675 N Park Ave, Pomona, CA 91768-3622 | 2009-08-25 |
| 1962633685 | Elite Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3168 N Garey Ave, Pomona, CA 91767-1306 | 2009-07-29 |
| 1700016268 | A2z Medical Supply | Durable Medical Equipment & Medical Supplies | 170 W Willow St, Pomona, CA 91768-1828 | 2009-07-19 |
| 1245472034 | Liberty Care and Investment Group, Inc. | Durable Medical Equipment & Medical Supplies | 922 E. Holt Ave., Pomona, CA 91767-5719 | 2009-03-25 |
| 1609045632 | Flex Medical Equipment Distributors Inc | Durable Medical Equipment & Medical Supplies | 1180 E Holt Ave, Pomona, CA 91767-5859 | 2008-02-25 |
| 1316127343 | Julia's Pheniks Medical Supply | Durable Medical Equipment & Medical Supplies | 4 Marion Ct, Pomona, NY 10970-2634 | 2007-11-07 |
| 1417170218 | Romeo N. Manalo | Durable Medical Equipment & Medical Supplies | 570 N Towne Ave, Pomona, CA 91767-4826 | 2007-04-10 |
| Find all providers in POMONA | ||||
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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.