RIVERSIDE MEDICAL SUPPLY, CO.
NPI 1164538369
Durable Medical Equipment & Medical Supplies in Riverside, CA

Q: What is Peter P. Kim's NPI number?

The NPI number for Peter P. Kim is 1164538369. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is doing business as Riverside Medical Supply, Co..

Q: What is Peter P. Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter P. Kim was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since August 21, 2006

10280 INDIANA AVE, RIVERSIDE, CA 92503(951) 343-0428(951) 343-0438 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Riverside Medical Supply, Co. NPPES

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

RIVERSIDE MEDICAL SUPPLY, CO. (NPI 1164538369) is a healthcare organization registered as a durable medical equipment & medical supplies in Riverside, California and active in the NPI registry since August 2006. The organization lists Peter P Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1164538369

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePETER P. KIM

Location Address10280 INDIANA AVERiverside, CA 92503-5357

Mailing Address10280 Indiana AveRiverside, CA 92503-5357 · (951) 343-0428 · Fax (951) 343-0438

Phone(951) 343-0428

Fax(951) 343-0438

Organization SubpartNo

Authorized OfficialPeter P KimOwner · (951) 343-0428

Enumeration DateAugust 21, 2006

Last NPPES UpdateJanuary 26, 2011

✔ NPI 1164538369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in CA · 44384

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.

10280 INDIANA AVE, Riverside, CA 92503

Open in Google Maps ↗

Other Names 1

Doing Business AsRiverside Medical Supply, Co.

Other Identifiers 5

Medicare ID-Type Unspecified5448620001By Cms

Other17867CA · Hmdr Exemptee License

Other44384CA · Home Med Device Retail

Medicare PIN5448620001

Medicaid9424937CA

Medical Equipment Supplier Medicare DMEPOS 37

Medicare supplier enrollment and the product categories Riverside Medical Supply carries, from the Medicare DMEPOS supplier directory.

Riverside Medical Supply

DMEPOS supplier · Riverside, CA

⋮

Does not accept Medicare assignment

Riverside Medical Supply has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20475719

Medicare Participant SinceNovember 22, 2016

Supplier Location10280 Indiana AveRiverside, CA 92503

Phone(951) 343-0428

Supplier Specialties

MSC With Orthotic Personnel

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Continuous Passive Motion (CPM) Devices

Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Gastric Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Infrared Heating Pads Systems and/or Supplies

Infrared Heating Pad Systems, Replacement Pads

Neuromuscular Elect Stimulators (NMES)/Supplies

Electrodes, lead wires, adhesive tape

Pneumatic Compression Devices and/or Supplies

Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies

Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Tracheotomy Supplies

Tracheostomy care kits

Urological Supplies

Catheters, Urinary collection devices

Continuous Positive Airway Pressure (CPAP) Devices

CPAP machines, Compressor systems, Humidifiers, Masks

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE MEDICAL SUPPLY

Durable Medical Equipment & Medical Supplies

10280 INDIANA AVE
RIVERSIDE, CA 92503

Riverside County (951) 343-0428

I.E. DME INC.

Durable Medical Equipment & Medical Supplies

10280 INDIANA AVE
RIVERSIDE, CA 92503

Riverside County (951) 343-0428

MR. DAVID WON LEE

Durable Medical Equipment & Medical Supplies

10280 INDIANA AVE
RIVERSIDE, CA 92503

Riverside County (951) 343-0428

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 Peter P. Kim's NPI number?

The NPI number for Peter P. Kim is 1164538369. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is doing business as Riverside Medical Supply, Co..

Where is Peter P. Kim located?

Peter P. Kim is located at 10280 Indiana Ave, Riverside, CA 92503. The listed phone number is (951) 343-0428.

What is Peter P. Kim's specialty?

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

Does Peter P. Kim accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Riverside Medical Supply does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Peter P. Kim was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.