MEDICARE: USA DIAGONAL SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1184569972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA DIAGONAL SERVICES LLC

Provider Business Mailing Address
First Line	:	640 BAILEY RD STE 479
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-4306
Country	:	US
Telephone Number	:	925-639-8504
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 BAILEY RD STE 479
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-4306
Country	:	US
Telephone Number	:	925-639-8504
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	USAMA SHAH
Credential	:
Telephone Number	:	925-639-8504

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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