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ELITE DME
NPI 1225859960
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Benicia, CA

Active since October 23, 2024
1375 BONITA BAHIA, BENICIA, CA 94510(925) 250-9601 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Dme NPPES

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

ELITE DME (NPI 1225859960) is a healthcare organization registered as a parenteral & enteral nutrition in Benicia, California and active in the NPI registry since October 2024. The organization lists Rafael Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1225859960
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameELITE DME
Location Address1375 BONITA BAHIABenicia, CA 94510-2405
Mailing Address1375 Bonita BahiaBenicia, CA 94510-2405 · (925) 250-9601
Phone(925) 250-9601
Organization SubpartNo
Authorized OfficialRafael JacksonOwner · (707) 720-7245
Enumeration DateOctober 23, 2024
Last NPPES UpdateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1225859960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
Taxonomy Code332BP3500X
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X
1375 BONITA BAHIA, Benicia, CA 94510
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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 Elite Dme's NPI number?

The NPI number for Elite Dme is 1225859960. It was assigned to this organization in the NPPES registry on October 23, 2024.

Where is Elite Dme located?

Elite Dme is located at 1375 Bonita Bahia, Benicia, CA 94510. The listed phone number is (925) 250-9601.

What is Elite Dme's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Elite Dme was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.