Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DELUXE MEDICAL SUPPLY LLC
NPI 1003620683
Durable Medical Equipment & Medical Supplies in Riverside, CA

Active since February 04, 2025
4240 LATHAM ST STE E, RIVERSIDE, CA 92501(951) 344-3777(951) 344-3773 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Jul 9, 2025, Jun 26, 2025 and 4 more (7 updates tracked since 2025).

About Deluxe Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELUXE MEDICAL SUPPLY LLC (NPI 1003620683) is a healthcare organization registered as a durable medical equipment & medical supplies in Riverside, California and active in the NPI registry since February 2025. The organization lists Alina Tymoshenko, Riverside Branch Manager, as its authorized official.

NPPES Registry Identity

NPI1003620683
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDELUXE MEDICAL SUPPLY LLC
Location Address4240 LATHAM ST STE ERiverside, CA 92501-1741
Mailing Address7474 El Cajon BlvdLa Mesa, CA 91942-7420 · (619) 741-5901 · Fax (619) 741-5910
Fax(951) 344-3773
Organization SubpartYes
Authorized OfficialAlina TymoshenkoRiverside Branch Manager · (949) 820-5454
Enumeration DateFebruary 4, 2025
Last NPPES UpdateSeptember 17, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
NPI 1003620683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
4240 LATHAM ST STE E, Riverside, CA 92501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deluxe Medical Supply LLC's NPI number?

The NPI number for Deluxe Medical Supply LLC is 1003620683. It was assigned to this organization in the NPPES registry on February 4, 2025.

Where is Deluxe Medical Supply LLC located?

Deluxe Medical Supply LLC is located at 4240 Latham St Ste E, Riverside, CA 92501. The listed phone number is (951) 344-3777.

What is Deluxe Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Deluxe Medical Supply LLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.