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DBA PACIFIC MEDICAL SUPPLY
NPI 1225100860
Durable Medical Equipment & Medical Supplies in Petaluma, CA

Active since November 15, 2006
620 PETALUMA BLVD N STE A, PETALUMA, CA 94952(707) 769-9606(707) 776-4659 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dba Pacific Medical Supply NPPES

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

DBA PACIFIC MEDICAL SUPPLY (NPI 1225100860) is a healthcare organization registered as a durable medical equipment & medical supplies in Petaluma, California and active in the NPI registry since November 2006. The organization lists Sherian L Prince, Owner, as its authorized official.

NPPES Registry Identity

NPI1225100860
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSHERIAN L PRINCE
Location Address620 PETALUMA BLVD N STE APetaluma, CA 94952-2870
Mailing Address620 Petaluma Blvd N Ste APetaluma, CA 94952-2870 · (707) 769-9606 · Fax (707) 776-4659
Phone(707) 769-9606
Fax(707) 776-4659
Organization SubpartNo
Authorized OfficialSherian L PrinceOwner · (707) 769-9606
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225100860 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 · 100669
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.
620 PETALUMA BLVD N STE A, Petaluma, CA 94952
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Other Names 1

Doing Business AsDba Pacific Medical Supply

Other Identifiers 1

MedicaidDME03174FCA

Other Providers at the Same Location NPPES

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

NORCAL MEDICAL SUPPLY, INC
Durable Medical Equipment & Medical Supplies
620 PETALUMA BLVD N STE A
PETALUMA, CA 94952
Sonoma County (707) 769-9606

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 Sherian L Prince's NPI number?

The NPI number for Sherian L Prince is 1225100860. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Dba Pacific Medical Supply.

Where is Sherian L Prince located?

Sherian L Prince is located at 620 Petaluma Blvd N Ste A, Petaluma, CA 94952. The listed phone number is (707) 769-9606.

What is Sherian L Prince'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 Sherian L Prince was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.