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WATERMAN MEDICAL SUPPLY INC
NPI 1205070729
Durable Medical Equipment & Medical Supplies in San Bernardino, CA

Active since April 28, 2009
1364 N WATERMAN AVE, # 105, SAN BERNARDINO, CA 92404(909) 383-7284(909) 383-5433 Get Directions Write a Review

NPPES record last updated: May 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waterman Medical Supply Inc NPPES

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

WATERMAN MEDICAL SUPPLY INC (NPI 1205070729) is a healthcare organization registered as a durable medical equipment & medical supplies in San Bernardino, California and active in the NPI registry since April 2009. The organization lists Sergey Ivanov, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205070729
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameWATERMAN MEDICAL SUPPLY INC
Location Address1364 N WATERMAN AVE, # 105San Bernardino, CA 92404-5313
Mailing Address1364 N Waterman Ave, # 105San Bernardino, CA 92404-5313 · (909) 383-7284 · Fax (909) 383-5433
Phone(909) 383-7284
Fax(909) 383-5433
Organization SubpartNo
Authorized OfficialSergey IvanovCeo · (909) 383-7284
Enumeration DateApril 28, 2009
Last NPPES UpdateMay 21, 2009
✔ NPI 1205070729 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 · 51274
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.
1364 N WATERMAN AVE, San Bernardino, CA 92404
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Other Providers at the Same Location NPPES 5

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

MR. RICHARD TANG PA-C
Physician Assistant
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 474-9952
JULIA ALEJANDRA LOZANO CEJA
Marriage & Family Therapist
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 688-6151
MRS. SILVIA BARR PA-C
Physician Assistant
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-3061
BRITTANEY M WILSON-HARRIS MD
Obstetrics & Gynecology
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-3061
KEVIN P CARNEVALE JR. M.D.
Obstetrics & Gynecology
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-3061

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 Waterman Medical Supply Inc's NPI number?

The NPI number for Waterman Medical Supply Inc is 1205070729. It was assigned to this organization in the NPPES registry on April 28, 2009.

Where is Waterman Medical Supply Inc located?

Waterman Medical Supply Inc is located at 1364 N Waterman Ave # 105, San Bernardino, CA 92404. The listed phone number is (909) 383-7284.

What is Waterman Medical Supply Inc'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 Waterman Medical Supply Inc was last updated on May 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.