DIVINE MEDICAL SUPPLY, INCORPORATED (NPI# 1891086914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891086914 |
| Entity Type | Organization |
| Organization Name | DIVINE MEDICAL SUPPLY, INCORPORATED |
| Other Organization Name | DIVINE MEDICAL SUPPLY |
| Practice Address |
285 S Gilbert St Fullerton CA 92833-2908 |
| Practice Telephone | 7144572049 |
| Practice Fax Number | 7149309435 |
| Mailing Telephone | 7144572049 |
| Mailing Fax Number | 7149309435 |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2011-04-23 |
| Authorized Official Name | MR. FEMI O ABATAN (PRESIDENT) |
| Authorized Official Telephone | 7142254762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282E00000X | Long Term Care Hospital | Hospitals | ||
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| Divine Medical Supply | Doing Business As Name - Organization |
| Street Address |
285 S GILBERT ST |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790071454 | Bethel O & A, Incorporated | Clinic/Center | 285 S Gilbert St, Fullerton, CA 92833-2908 | 2011-06-21 |
| 1679865208 | Omoba Corporation | Non-emergency Medical Transport (VAN) | 285 S Gilbert St, Fullerton, CA 92833-2908 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101925 | Personal Care Transportation LLC | Durable Medical Equipment & Medical Supplies | 245 N Euclid Ave, Upland, CA 91786-6038 | 2020-07-13 |
| 1285279083 | Danny F. San Miguel | Durable Medical Equipment & Medical Supplies | 9607 Business Center Dr Unit E, Rancho Cucamonga, CA 91730-4557 | 2019-11-15 |
| 1558826628 | Sml Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 22345 La Palma Ave Ste 101-102, Yorba Linda, CA 92887-3822 | 2019-02-04 |
| 1346724432 | Verio Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 26855 Jefferson Ave Ste C, Murrieta, CA 92562-8966 | 2018-09-24 |
| 1770072712 | Conversions Technology LLC | Durable Medical Equipment & Medical Supplies | 2962 Seaborg Ave, Ventura, CA 93003-7643 | 2018-05-04 |
| 1730698077 | Verio Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 11805 Smith Ave, Santa Fe Springs, CA 90670-3226 | 2017-09-28 |
| 1588113088 | Gkn Rx | Durable Medical Equipment & Medical Supplies | 7072 N Cedar Ave, Fresno, CA 93720-3300 | 2016-09-26 |
| 1407202120 | Fleximug LLC | Durable Medical Equipment & Medical Supplies | 1041 Market St # 400, San Diego, CA 92101-7233 | 2016-05-12 |
| 1760836837 | Verio Healthcare | Durable Medical Equipment & Medical Supplies | 1850 W Main St Ste B, El Centro, CA 92243-2106 | 2016-04-14 |
| 1477928836 | Avenue Medical Equipment | Durable Medical Equipment & Medical Supplies | 3142 Tiger Run Ct, Suite 118, Carlsbad, CA 92010-6692 | 2015-12-09 |
| Find all providers with the same taxonomy | ||||
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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.