PROVISION MEDICAL SUPPLY
NPI 1770055477
Durable Medical Equipment & Medical Supplies in Costa Mesa, CA

Q: What is Provision Medical Supply's NPI number?

The NPI number for Provision Medical Supply is 1770055477. It was assigned to this organization in the NPPES registry on December 19, 2018.

Q: What is Provision Medical Supply's specialty?

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

Active since December 19, 2018

777 W 19TH ST STE F, COSTA MESA, CA 92627(949) 662-3933 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2021, Mar 30, 2021, Dec 19, 2018 (3 updates tracked since 2018).

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About Provision Medical Supply NPPES

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

PROVISION MEDICAL SUPPLY (NPI 1770055477) is a healthcare organization registered as a durable medical equipment & medical supplies in Costa Mesa, California and active in the NPI registry since December 2018. The organization lists Patrick Parke, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770055477

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePROVISION MEDICAL SUPPLY

Location Address777 W 19TH ST STE FCosta Mesa, CA 92627-6131

Mailing Address777 W 19th St Ste FCosta Mesa, CA 92627-6131 · (949) 662-3933

Phone(949) 662-3933

Organization SubpartNo

Authorized OfficialPatrick ParkeCeo · (949) 662-3933

Enumeration DateDecember 19, 2018

Last NPPES UpdateJune 9, 20213 updates tracked since enumeration

NPPES CertifiedJune 9, 2021

✔ NPI 1770055477 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.

777 W 19TH ST STE F, Costa Mesa, CA 92627

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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 Provision Medical Supply's NPI number?

The NPI number for Provision Medical Supply is 1770055477. It was assigned to this organization in the NPPES registry on December 19, 2018.

Where is Provision Medical Supply located?

Provision Medical Supply is located at 777 W 19th St Ste F, Costa Mesa, CA 92627. The listed phone number is (949) 662-3933.

What is Provision 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 Provision Medical Supply was last updated on June 9, 2021. 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.