SOUTH BAY MEDICAL SUPPLY
NPI 1578613428
Durable Medical Equipment & Medical Supplies in Wilmington, CA

Q: What is South Bay Medical Supply's NPI number?

The NPI number for South Bay Medical Supply is 1578613428. It was assigned to this organization in the NPPES registry on January 11, 2007.

Q: What is South Bay Medical Supply's specialty?

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

Active since January 11, 2007

735 BROAD AVE, WILMINGTON, CA 90744(310) 522-4200(310) 522-4244 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Bay Medical Supply NPPES

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

SOUTH BAY MEDICAL SUPPLY (NPI 1578613428) is a healthcare organization registered as a durable medical equipment & medical supplies in Wilmington, California and active in the NPI registry since January 2007. The organization lists Gabriel C Ejizu, Owner, as its authorized official.

NPPES Registry Identity

NPI1578613428

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSOUTH BAY MEDICAL SUPPLY

Location Address735 BROAD AVEWilmington, CA 90744-5833

Mailing AddressPo Box 663Wilmington, CA 90748-0663 · (310) 522-4200 · Fax (310) 522-4244

Phone(310) 522-4200

Fax(310) 522-4244

Organization SubpartNo

Authorized OfficialGabriel C EjizuOwner · (310) 522-4200

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJanuary 9, 2008

✔ NPI 1578613428 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 · 46263

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.

735 BROAD AVE, Wilmington, CA 90744

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Other Identifiers 1

Medicare NSC5925310001CA

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 South Bay Medical Supply's NPI number?

The NPI number for South Bay Medical Supply is 1578613428. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is South Bay Medical Supply located?

South Bay Medical Supply is located at 735 Broad Ave, Wilmington, CA 90744. The listed phone number is (310) 522-4200.

What is South Bay 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 South Bay Medical Supply was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.