Deluxe Medical Supply LLC
NPI 1003620683 · Durable Medical Equipment & Medical Supplies · Riverside, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deluxe Medical Supply LLC is a Durable Medical Equipment & Medical Supplies organization in Riverside, CA (NPI 1003620683).
Provider details
- NPI number
- 1003620683
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Deluxe Medical Supply LLC
- Organization subpart
- Yes
- Authorized official
- Yerken Tenizbayev, Managing Member(619) 741-5901
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-04
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Frequently asked questions
- What is Deluxe Medical Supply LLC's NPI number?
- Deluxe Medical Supply LLC's National Provider Identifier (NPI) is 1003620683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deluxe Medical Supply LLC?
- Deluxe Medical Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Deluxe Medical Supply LLC located?
- Deluxe Medical Supply LLC's practice location on file with NPPES is 4240 Latham St Ste E, Riverside, CA 92501-1741.
- What is Deluxe Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Deluxe Medical Supply LLC is (619) 741-5901.
- Does Deluxe Medical Supply LLC accept Medicare?
- Deluxe Medical Supply LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Deluxe Medical Supply LLC?
- The authorized official listed on Deluxe Medical Supply LLC's NPPES record is Yerken Tenizbayev, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deluxe Medical Supply LLC's NPI active?
- Yes — Deluxe Medical Supply LLC's NPI (1003620683) is active in the NPPES registry as of the last update on 2025-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.