MI-MED SUPPLY CO., INC. (NPI# 1225076870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225076870 |
| Entity Type | Organization |
| Organization Name | MI-MED SUPPLY CO., INC. |
| Other Organization Name | EXPEREA HEALTHCARE |
| Practice Address |
30 Fairbanks Suite 115 Irvine CA 92618 |
| Mailing Address |
Po Box 674553 Detroit MI 48267-4553 |
| Practice Telephone | 9497163071 |
| Practice Fax Number | 7722124904 |
| Mailing Telephone | 9497163071 |
| Mailing Fax Number | 7722124904 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | MR. GARY R. BANG JR. (PRESIDENT & DIRECTOR) |
| Authorized Official Telephone | 7722407609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1225076870 | 05 |
| Other Name | Type Code |
|---|---|
| Experea Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467532234 | Mi-med Supply Co., Inc. | Durable Medical Equipment & Medical Supplies | 222 W Mission Ave Ste 125, Spokane, WA 99201-2341 | 2006-10-16 |
| 1578678223 | Mi-med Supply Co., Inc. | Durable Medical Equipment & Medical Supplies | 1390 Decision St Ste B, Vista, CA 92081 | 2006-08-21 |
| Street Address |
30 FAIRBANKS SUITE 115 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| 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 |
|---|---|---|---|---|
| 1023618709 | S & K Dme LLC | Durable Medical Equipment & Medical Supplies | 9910 Irvine Center Dr Bldg 7, Irvine, CA 92618-4357 | 2020-10-30 |
| 1154940823 | Beta Bionics Inc. | Durable Medical Equipment & Medical Supplies | 14150 Myford Rd, Irvine, CA 92606-1004 | 2020-04-13 |
| 1114569621 | Southwest Investments, LLC | Durable Medical Equipment & Medical Supplies | 17962 Sky Park Cir Ste B, Irvine, CA 92614-4413 | 2019-10-16 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1972064608 | Newport West Investments, LLC | Durable Medical Equipment & Medical Supplies | 18001 Sky Park Cir Ste B, Irvine, CA 92614-6597 | 2019-03-26 |
| 1770049421 | Vulu Ventures | Durable Medical Equipment & Medical Supplies | 2372 Morse Ave Ste 288, Irvine, CA 92614-6234 | 2019-02-19 |
| 1720543671 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 17782 Cowan Street, Ste G, Irvine, CA 92614-6049 | 2019-02-05 |
| 1316459050 | Fardad Adltabatabaie | Durable Medical Equipment & Medical Supplies | 15 Acacia Tree Ln, Irvine, CA 92612-2201 | 2017-11-03 |
| 1902328776 | Access International | Durable Medical Equipment & Medical Supplies | 4010 Barranca Pkwy Ste 100, Irvine, CA 92604-4777 | 2017-07-12 |
| 1508315128 | Han Sam Corp | Durable Medical Equipment & Medical Supplies | 17332 Von Karman Ave Ste 110, Irvine, CA 92614-6280 | 2016-09-23 |
| Find all providers in IRVINE | ||||
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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.