Healthcare Provider Details
I. General information
NPI: 1730031394
Provider Name (Legal Business Name): ALLSTAR MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1930 MT DIABLO BLVD
WALNUT CREEK CA
94596-4412
US
IV. Provider business mailing address
1930 MT DIABLO BLVD
WALNUT CREEK CA
94596-4412
US
V. Phone/Fax
- Phone: 925-932-3100
- Fax:
- Phone: 925-932-3100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICOLE
L
BARLETTA
Title or Position: PRESIDENT
Credential:
Phone: 415-806-0479