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PROMEDICA MEDICAL SUPPLY INC
NPI 1316687627
Durable Medical Equipment & Medical Supplies in San Diego, CA

Active since April 01, 2022
1446 FRONT ST STE 200, SAN DIEGO, CA 92101(858) 800-3550 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Promedica Medical Supply Inc NPPES

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

PROMEDICA MEDICAL SUPPLY INC (NPI 1316687627) is a healthcare organization registered as a durable medical equipment & medical supplies in San Diego, California and active in the NPI registry since April 2022. The organization lists Viviann Carolina Valenzuela, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316687627
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROMEDICA MEDICAL SUPPLY INC
Location Address1446 FRONT ST STE 200San Diego, CA 92101-3425
Mailing Address1446 Front St Ste 200San Diego, CA 92101-3425 · (858) 800-3550
Phone(858) 800-3550
Organization SubpartNo
Authorized OfficialViviann Carolina ValenzuelaCeo · (619) 621-8162
Enumeration DateApril 1, 2022
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1316687627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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.
1446 FRONT ST STE 200, San Diego, CA 92101
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Medical Equipment Supplier Medicare DMEPOS

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

Promedica Medical Supply Inc

DMEPOS supplier · San Diego, CA
✔

Accepts Medicare assignment

Promedica Medical Supply Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)23280175
Medicare Participant SinceJanuary 10, 2024
Supplier Location1446 Front St Ste 200San Diego, CA 92101
Phone(858) 800-3550
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Promedica Medical Supply Inc's NPI number?

The NPI number for Promedica Medical Supply Inc is 1316687627. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is Promedica Medical Supply Inc located?

Promedica Medical Supply Inc is located at 1446 Front St Ste 200, San Diego, CA 92101. The listed phone number is (858) 800-3550.

What is Promedica Medical Supply Inc's specialty?

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

Does Promedica Medical Supply Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Promedica Medical Supply Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Promedica Medical Supply Inc was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.