MEDICARE: NUCLEUS MEDICAL SUPPLIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	335E00000X	Prosthetic/Orthotic Supplier
3	332BD1200X	Dialysis Equipment & Supplies (DME)
4	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1033065743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUCLEUS MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	2153 CLINTON AVE APT C
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-4972
Country	:	US
Telephone Number	:	421-607-5055
Fax Number	:

Provider Business Practice Location Address
First Line	:	2153 CLINTON AVE APT C
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-4972
Country	:	US
Telephone Number	:	421-607-5055
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	ERIC WALTON
Credential	:
Telephone Number	:	421-607-5055

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	06/02/2026

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