RIVERSIDE MEDICAL SUPPLY, CO.
NPI 1164538369
Durable Medical Equipment & Medical Supplies in Riverside, CA
NPI Status: Active since August 21, 2006
Contact Information
10280 INDIANA AVE
RIVERSIDE, CA
ZIP 92503
Phone: (951) 343-0428
Fax: (951) 343-0438
- Organization
- Durable Medical Equipment & Medical Supp...
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About RIVERSIDE MEDICAL SUPPLY, CO.
This page provides the complete NPI Profile along with additional information for Riverside Medical Supply, Co., a provider established in Riverside, California operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1164538369 assigned on August 2006. The practitioner's primary taxonomy code is 332B00000X with license number 44384 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Riverside Medical Supply, Co.. The authorized official of this NPI record is Mr. Peter P Kim Rn (Owner)
- NPI
- 1164538369
- Provider Legal Name
- PETER P. KIM
- Other Organization Name
- RIVERSIDE MEDICAL SUPPLY, CO.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10280 INDIANA AVE RIVERSIDE, CA 92503
- Location Phone
- (951) 343-0428
- Location Fax
- (951) 343-0438
- Mailing Address
- 10280 INDIANA AVE RIVERSIDE, CA 92503
- Mailing Phone
- (951) 343-0428
- Mailing Fax
- (951) 343-0438
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2006
- Last Update Date
- 01-26-2011
- Code Navigator
Riverside Medical Supply, Co. is a medicare supplier with PTAN 20475719 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Continuous Passive Motion (CPM) Devices or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Gastric Suction Pumps or Heat & Cold Applications or Hospital Beds (Electric) or Hospital Beds (Manual) or Infrared Heating Pads Systems and/or Supplies or Neuromuscular Elect Stimulators (NMES)/Supplies or Pneumatic Compression Devices and/or Supplies or Support Surfaces: Pressure Reducing Beds/Mats/Pads or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 44384
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5448620001 | MEDICARE ID-TYPE UNSPECIFIED (04) | BY CMS | |
| 17867 | OTHER (01) | CA | HMDR EXEMPTEE LICENSE |
| 44384 | OTHER (01) | CA | HOME MED DEVICE RETAIL |
| 5448620001 | MEDICARE PIN (08) | ||
| 9424937 | MEDICAID (05) | CA |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20475719
- Accepts Medicare Assignment
- NO
- Specialities List
- MSC With Orthotic Personnel.
- Competitive Bidding
- NO
Supplies List
- 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
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164538369, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
RIVERSIDE, CA 92503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164538369, enumerated as an "organization" on August 21, 2006.
The provider is located at 10280 INDIANA AVE RIVERSIDE, CA 92503 and the phone number is (951) 343-0428.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
