MEDICARE: OMNIX HUB 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	:	1982573846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMNIX HUB LLC

Provider Business Mailing Address
First Line	:	3625 BANBURY DR APT 18H
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-1856
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3625 BANBURY DR APT 18H
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-1856
Country	:	US
Telephone Number	:	888-651-3854
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUBEEN NISAR
Credential	:
Telephone Number	:	888-651-3854

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/30/2025

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Directions to “OMNIX HUB LLC ” Practice Location

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