Healthcare Provider Details

I. General information

NPI: 1295745768
Provider Name (Legal Business Name): DME SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 11/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 COUNTRY HILL RD
NIPOMO CA
93444-9626
US

IV. Provider business mailing address

1460 COUNTRY HILL RD
NIPOMO CA
93444-9626
US

V. Phone/Fax

Practice location:
  • Phone: 805-929-5876
  • Fax: 805-929-2370
Mailing address:
  • Phone: 805-929-5876
  • Fax: 805-929-2370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierDME02899G
Identifier TypeMEDICAID
Identifier StateCA
Identifier Issuer

VIII. Authorized Official

Name: M. PATRICIA DURON
Title or Position: PRESIDENT
Credential:
Phone: 805-929-5876