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MAIN SOURCE MEDICAL SUPPLY
NPI 1932485406
Durable Medical Equipment & Medical Supplies in Fullerton, CA

Active since October 28, 2011
3624 RANDEE WAY, FULLERTON, CA 92833(714) 584-0127 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Source Medical Supply NPPES

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

MAIN SOURCE MEDICAL SUPPLY (NPI 1932485406) is a healthcare organization registered as a durable medical equipment & medical supplies in Fullerton, California and active in the NPI registry since October 2011. The organization lists Jorge Lomeli, Owner, as its authorized official.

NPPES Registry Identity

NPI1932485406
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMAIN SOURCE MEDICAL SUPPLY
Location Address3624 RANDEE WAYFullerton, CA 92833-2830
Mailing AddressPo Box 632Fullerton, CA 92836-0632 · (714) 584-0127
Phone(714) 584-0127
Organization SubpartNo
Authorized OfficialJorge LomeliOwner · (714) 584-0127
Enumeration DateOctober 28, 2011
✔ NPI 1932485406 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 · 563007
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.
3624 RANDEE WAY, Fullerton, CA 92833
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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 Main Source Medical Supply's NPI number?

The NPI number for Main Source Medical Supply is 1932485406. It was assigned to this organization in the NPPES registry on October 28, 2011.

Where is Main Source Medical Supply located?

Main Source Medical Supply is located at 3624 Randee Way, Fullerton, CA 92833. The listed phone number is (714) 584-0127.

What is Main Source 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 Main Source Medical Supply was last updated on October 28, 2011. 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.