DIABLO MEDICAL SUPPLY (NPI# 1730241639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730241639 |
| Entity Type | Organization |
| Organization Name | DIABLO MEDICAL SUPPLY |
| Other Organization Name | STEPHEN T. LARSEN |
| Practice Address |
1147 Alpine Rd Walnut Creek CA 94596-4401 |
| Practice Telephone | 9259476099 |
| Practice Fax Number | 9259476624 |
| Mailing Telephone | 9259476099 |
| Mailing Fax Number | 9259476624 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. STEPHEN T LARSEN (OWNER) |
| Authorized Official Telephone | 9259476099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 100183 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DME00939G | 05 | |
| CA | HMD RETAIL LICENSE NO. | 100183 | 01 |
| Other Name | Type Code |
|---|---|
| Stephen T. Larsen | Doing Business As Name - Organization |
| Street Address |
1147 ALPINE RD |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588718829 | Kazak Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1147 Alpine Rd, Walnut Creek, CA 94596-4401 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| 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 |
|---|---|---|---|---|
| 1962026732 | Vous Ventures, Inc. | Durable Medical Equipment & Medical Supplies | 1001 Harvey Dr Apt 210, Walnut Creek, CA 94597-3602 | 2020-06-07 |
| 1881248912 | Sleepquest, Inc. | Durable Medical Equipment & Medical Supplies | 1399 Ygnacio Valley Rd Ste 2, Walnut Creek, CA 94598-2830 | 2019-07-26 |
| 1841364726 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 350 N Wiget Ln, Suite 100, Walnut Creek, CA 94598-2479 | 2006-11-20 |
| 1225102379 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 350 N Wiget Ln Ste 100, Walnut Creek, CA 94598-2449 | 2006-11-20 |
| 1154430510 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1997 Tice Valley Boulevard, Walnut Creek, CA 94595-2201 | 2006-08-30 |
| 1649389172 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1526 Palos Verdes Mall, Walnut Creek, CA 94596-2229 | 2006-08-29 |
| 1578677597 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 2950 Buskirk Ave, Suite 180, Walnut Creek, CA 94597-7779 | 2006-08-18 |
| 1386659662 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2900 N Main St, Walnut Creek, CA 94597-2035 | 2006-07-29 |
| 1578597753 | Marzel's Inc. | Durable Medical Equipment & Medical Supplies | 1220 Oakland Blvd, Suite 100, Walnut Creek, CA 94596-8494 | 2006-07-11 |
| 1891724829 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 600 S Broadway, Walnut Creek, CA 94596-5208 | 2006-07-02 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on DIABLO MEDICAL SUPPLY.
| 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.