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SOURCE ONE MEDICAL INC
NPI 1619972239
Durable Medical Equipment & Medical Supplies - Customized Equipment in Irvine, CA

Active since June 20, 2005
16 TECHNOLOGY DR, SUITE 165, IRVINE, CA 92618(888) 447-9056(949) 387-6371 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Source One Medical Inc NPPES

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

SOURCE ONE MEDICAL INC (NPI 1619972239) is a healthcare organization registered as a customized equipment in Irvine, California and active in the NPI registry since June 2005. The organization lists Dennis Kline, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1619972239
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameSOURCE ONE MEDICAL INC
Location Address16 TECHNOLOGY DR, SUITE 165Irvine, CA 92618-2328
Mailing Address16 Technology Dr, Suite165Irvine, CA 92618-2328 · (888) 447-9056 · Fax (949) 387-6371
Phone(888) 447-9056
Fax(949) 387-6371
Organization SubpartNo
Authorized OfficialDennis KlinePresident/ceo · (888) 447-9056
Enumeration DateJune 20, 2005
Last NPPES UpdateMay 14, 2012
✔ NPI 1619972239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in CA · 103616
16 TECHNOLOGY DR, Irvine, CA 92618
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Other Names 1

Former Legal Business NameSource One Medical Inc

Other Identifiers 1

Medicare NSC1265360001CA

Other Providers at the Same Location NPPES 5

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

CENTER FOR SOCIAL COGNITION
Behavior Analyst
16 TECHNOLOGY DR, SUITE 100
IRVINE, CA 92618
Orange County (949) 788-9299
KENDALL MARINA DO
Behavior Analyst
16 TECHNOLOGY DR
IRVINE, CA 92618
Orange County (949) 385-1656
KARISSA KAYLA RUIZ
Behavior Technician
16 TECHNOLOGY DR
IRVINE, CA 92618
Orange County (949) 385-1656
SANAM CHAWLA
Behavior Analyst
16 TECHNOLOGY DR
IRVINE, CA 92618
Orange County (949) 385-1656
ASHLEY RUIZ
Behavior Technician
16 TECHNOLOGY DR
IRVINE, CA 92618
Orange County (949) 385-1656

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 Source One Medical Inc's NPI number?

The NPI number for Source One Medical Inc is 1619972239. It was assigned to this organization in the NPPES registry on June 20, 2005.

Where is Source One Medical Inc located?

Source One Medical Inc is located at 16 Technology Dr Suite 165, Irvine, CA 92618. The listed phone number is (888) 447-9056.

What is Source One Medical Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Source One Medical Inc was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.