PACIFIC COAST MEDICAL SUPPLY, LLC
NPI 1801268628
Durable Medical Equipment & Medical Supplies in Oceanside, CA

Q: What is Pacific Coast Medical Supply, LLC's NPI number?

The NPI number for Pacific Coast Medical Supply, LLC is 1801268628. It was assigned to this organization in the NPPES registry on October 21, 2015.

Q: What is Pacific Coast Medical Supply, LLC's specialty?

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

Active since October 21, 2015

1155 SPORTFISHER DR, SUITE 210, OCEANSIDE, CA 92054(562) 706-4552(877) 733-3462 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pacific Coast Medical Supply, Llc NPPES

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

PACIFIC COAST MEDICAL SUPPLY, LLC (NPI 1801268628) is a healthcare organization registered as a durable medical equipment & medical supplies in Oceanside, California and active in the NPI registry since October 2015. The organization lists Carie Mortensen, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1801268628

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePACIFIC COAST MEDICAL SUPPLY, LLC

Location Address1155 SPORTFISHER DR, SUITE 210Oceanside, CA 92054-4168

Mailing Address1155 Sportfisher Dr, Suite 210Oceanside, CA 92054-4168 · (562) 706-4552 · Fax (877) 733-3462

Phone(562) 706-4552

Fax(877) 733-3462

Organization SubpartNo

Authorized OfficialCarie MortensenCeo/president · (562) 706-4552

Enumeration DateOctober 21, 2015

✔ NPI 1801268628 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.

1155 SPORTFISHER DR, Oceanside, CA 92054

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Other Identifiers 1

Medicare NSC6449380001CA

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 Coast Medical Supply, LLC's NPI number?

The NPI number for Pacific Coast Medical Supply, LLC is 1801268628. It was assigned to this organization in the NPPES registry on October 21, 2015.

Where is Pacific Coast Medical Supply, LLC located?

Pacific Coast Medical Supply, LLC is located at 1155 Sportfisher Dr Suite 210, Oceanside, CA 92054. The listed phone number is (562) 706-4552.

What is Pacific Coast Medical Supply, LLC'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 Coast Medical Supply, LLC was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.