ON THE GO MEDICAL SUPPLY, LLC (NPI# 1134614274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134614274 |
| Entity Type | Organization |
| Organization Name | ON THE GO MEDICAL SUPPLY, LLC |
| Practice Address |
12421 Hesperia Rd Ste 1 Victorville CA 92395-7704 |
| Practice Telephone | 7605524075 |
| Practice Fax Number | 7605524023 |
| Mailing Telephone | 7605524075 |
| Mailing Fax Number | 7605524023 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Authorized Official Name | ADRIANA NAWAZ (OWNER) |
| Authorized Official Telephone | 7605524075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 98950 | CA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ON THE GO MEDICAL SUPPLY, LLC | 5444 Fry Rd Ste E, Katy, TX 77449-5597 |
| Street Address |
12421 HESPERIA RD STE 1 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865276 | Sergio Aguila Dds,inc | Durable Medical Equipment & Medical Supplies | 13790 Bear Valley Rd Ste E7, Victorville, CA 92392-8699 | 2020-06-16 |
| 1053852194 | Sg Homecare, Inc | Durable Medical Equipment & Medical Supplies | 12380 Hesperia Rd, #1, Victorville, CA 92395-5814 | 2017-03-08 |
| 1023431202 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12184 Palmdale Rd, Victorville, CA 92392-8538 | 2014-01-24 |
| 1679853832 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 15318 Roy Rogers Dr, Victorville, CA 92394-2160 | 2011-08-19 |
| 1740598689 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 14426 Palmdale Rd, Victorville, CA 92392 | 2010-09-14 |
| 1386957652 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 12176 Industrial Blvd, Suite 5, Victorville, CA 92395 | 2010-07-15 |
| 1811142870 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 12402 Industrial Blvd Bldg F, Suite 1 & 2, Victorville, CA 92395 | 2008-11-18 |
| 1265623003 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 16120 Bear Valley Road, Victorville, CA 92395-8706 | 2007-08-07 |
| 1205923562 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 14515 Mojave Drive, Suite B, Victorville, CA 92394-6720 | 2006-10-06 |
| 1396854675 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 14629 7th Street, Victorville, CA 92395-4019 | 2006-08-30 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.