PRESTIGE MEDICAL SUPPLY
NPI 1194892992
Durable Medical Equipment & Medical Supplies in Gardena, CA

NPI Status: Active since November 29, 2006

Contact Information

1320 WEST GARDENA BLVD
#107
GARDENA, CA
ZIP 90247
Phone: (310) 324-0786
Fax: (310) 324-0211

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About PRESTIGE MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Prestige Medical Supply, a provider established in Gardena, California operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1194892992 assigned on November 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Joseph A Kermah (Owner)

NPI
1194892992
Provider Name
PRESTIGE MEDICAL SUPPLY
Entity Type
Organization
Location Address
1320 WEST GARDENA BLVD #107 GARDENA, CA 90247
Location Phone
(310) 324-0786
Location Fax
(310) 324-0211
Mailing Address
1320 WEST GARDENA BLVD #107 GARDENA, CA 90247
Mailing Phone
(310) 324-0786
Mailing Fax
(310) 324-0211
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2006
Last Update Date
06-23-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH A KERMAH

Authorized Official Title
OWNER
Authorized Official Phone
(310) 324-0786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4197000001MEDICARE ID-TYPE UNSPECIFIED (04)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194892992
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841694918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 6 + 9 + 4 + 9 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1194892992 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194892992, enumerated in the NPI registry as an "organization" on November 29, 2006

The provider is located at 1320 West Gardena Blvd #107 Gardena, Ca 90247 and the phone number is (310) 324-0786

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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