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PROVECTA MEDICAL SUPPLY LLC
NPI 1992589873
Durable Medical Equipment & Medical Supplies in Los Angeles, CA

Active since August 22, 2023
6333 WILSHIRE BLVD FL 1, LOS ANGELES, CA 90048(310) 861-3738 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2023, Aug 22, 2023 (2 updates tracked since 2023).

About Provecta Medical Supply Llc NPPES

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

PROVECTA MEDICAL SUPPLY LLC (NPI 1992589873) is a healthcare organization registered as a durable medical equipment & medical supplies in Los Angeles, California and active in the NPI registry since August 2023. The organization lists Reza Jabarzade, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992589873
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROVECTA MEDICAL SUPPLY LLC
Location Address6333 WILSHIRE BLVD FL 1Los Angeles, CA 90048-5702
Mailing Address6333 Wilshire Blvd Fl 1Los Angeles, CA 90048-5702 · (310) 861-3738
Phone(310) 861-3738
Organization SubpartNo
Authorized OfficialReza JabarzadeCeo · (424) 281-8834
Enumeration DateAugust 22, 2023
Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1992589873 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.
6333 WILSHIRE BLVD FL 1, Los Angeles, CA 90048
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Medical Equipment Supplier Medicare DMEPOS 13

Medicare supplier enrollment and the product categories Provecta Medical Supply carries, from the Medicare DMEPOS supplier directory.

Provecta Medical Supply

DMEPOS supplier · Los Angeles, CAOperated by Provecta Medical Supply LLC
✔

Accepts Medicare assignment

Provecta Medical Supply agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)23280859
Medicare Participant SinceDecember 27, 2023
Supplier Location6333 Wilshire Blvd Fl 1Los Angeles, CA 90048
Phone(424) 281-8834
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Patient Lifts
Ceiling lifts, Slings
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Provecta Medical Supply LLC's NPI number?

The NPI number for Provecta Medical Supply LLC is 1992589873. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Provecta Medical Supply LLC located?

Provecta Medical Supply LLC is located at 6333 Wilshire Blvd Fl 1, Los Angeles, CA 90048. The listed phone number is (310) 861-3738.

What is Provecta Medical Supply LLC's specialty?

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

Does Provecta Medical Supply LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Provecta Medical Supply accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Provecta Medical Supply LLC was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.