1. Home
  2. Directory
  3. California
  4. Corona
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PACIFIC MEDICAL SUPPLY
NPI 1376634873
Durable Medical Equipment & Medical Supplies in Corona, CA

Active since September 27, 2006
574 CALHOUN ST, CORONA, CA 92879(951) 553-0322(951) 279-6004 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Medical Supply NPPES

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

PACIFIC MEDICAL SUPPLY (NPI 1376634873) is a healthcare organization registered as a durable medical equipment & medical supplies in Corona, California and active in the NPI registry since September 2006. The organization lists Fidelis Gabriel Ekong, Owner, as its authorized official.

NPPES Registry Identity

NPI1376634873
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePACIFIC MEDICAL SUPPLY
Location Address574 CALHOUN STCorona, CA 92879-5846
Mailing Address574 Calhoun StCorona, CA 92879-5846 · (951) 553-0322 · Fax (951) 279-6004
Phone(951) 553-0322
Fax(951) 279-6004
Organization SubpartNo
Authorized OfficialFidelis Gabriel EkongOwner · (951) 552-0322
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376634873 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.
574 CALHOUN ST, Corona, CA 92879
Open in Google Maps ↗

Other Names 1

Doing Business AsPacific Medical Supply

Other Identifiers 1

Medicaid162054401/02TX

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 Pacific Medical Supply's NPI number?

The NPI number for Pacific Medical Supply is 1376634873. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Pacific Medical Supply located?

Pacific Medical Supply is located at 574 Calhoun St, Corona, CA 92879. The listed phone number is (951) 553-0322.

What is Pacific Medical Supply'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 Pacific Medical Supply 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.