MEDISOURCE, INC
NPI 1689912263
Durable Medical Equipment & Medical Supplies in San Clemente, CA

Q: What is Medisource, Inc's NPI number?

The NPI number for Medisource, Inc is 1689912263. It was assigned to this organization in the NPPES registry on January 16, 2013.

Q: What is Medisource, Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Medisource, Inc was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 16, 2013

555 N EL CAMINO REAL, A376, SAN CLEMENTE, CA 92672(949) 412-2639(888) 500-0171 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Medisource, Inc NPPES

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

MEDISOURCE, INC (NPI 1689912263) is a healthcare organization registered as a durable medical equipment & medical supplies in San Clemente, California and active in the NPI registry since January 2013. The organization lists Jerry R Steele, Owner, as its authorized official.

NPPES Registry Identity

NPI1689912263

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameMEDISOURCE, INC

Location Address555 N EL CAMINO REAL, A376San Clemente, CA 92672-6740

Mailing Address555 N El Camino Real, A376San Clemente, CA 92672-6740 · (949) 412-2639 · Fax (888) 500-0171

Phone(949) 412-2639

Fax(888) 500-0171

Organization SubpartNo

Authorized OfficialJerry R SteeleOwner · (949) 412-2639

Enumeration DateJanuary 16, 2013

✔ NPI 1689912263 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.

555 N EL CAMINO REAL, San Clemente, CA 92672

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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 Medisource, Inc's NPI number?

The NPI number for Medisource, Inc is 1689912263. It was assigned to this organization in the NPPES registry on January 16, 2013.

Where is Medisource, Inc located?

Medisource, Inc is located at 555 N El Camino Real A376, San Clemente, CA 92672. The listed phone number is (949) 412-2639.

What is Medisource, Inc'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 Medisource, Inc was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.