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MEDI-SOURCE EQUIPMENT & SUPPLY INC
NPI 1821078577
Durable Medical Equipment & Medical Supplies in Yucca Valley, CA

Active since January 19, 2006
57725 TWENTYNINE PALMS HWY, SUITE 402, YUCCA VALLEY, CA 92284(760) 365-6389(760) 365-7016 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medi-source Equipment & Supply Inc NPPES

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

MEDI-SOURCE EQUIPMENT & SUPPLY INC (NPI 1821078577) is a healthcare organization registered as a durable medical equipment & medical supplies in Yucca Valley, California and active in the NPI registry since January 2006. The organization lists Esta E Willman, President, as its authorized official.

NPPES Registry Identity

NPI1821078577
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMEDI-SOURCE EQUIPMENT & SUPPLY INC
Location Address57725 TWENTYNINE PALMS HWY, SUITE 402Yucca Valley, CA 92284-3046
Mailing AddressPo Box 712Yucca Valley, CA 92286-0712 · (760) 365-6389 · Fax (760) 365-7016
Phone(760) 365-6389
Fax(760) 365-7016
Organization SubpartNo
Authorized OfficialEsta E WillmanPresident · (760) 365-6389
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMay 24, 2010
✔ NPI 1821078577 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 · 53366
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.
57725 TWENTYNINE PALMS HWY, Yucca Valley, CA 92284
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Other Identifiers 2

Medicare ID-Type Unspecified0956800001
MedicaidDME02109FCA

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 Medi-Source Equipment & Supply Inc's NPI number?

The NPI number for Medi-Source Equipment & Supply Inc is 1821078577. It was assigned to this organization in the NPPES registry on January 19, 2006.

Where is Medi-Source Equipment & Supply Inc located?

Medi-Source Equipment & Supply Inc is located at 57725 Twentynine Palms Hwy Suite 402, Yucca Valley, CA 92284. The listed phone number is (760) 365-6389.

What is Medi-Source Equipment & Supply 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 Medi-Source Equipment & Supply Inc was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.