Pacific Coast Medical Supply
NPI 1053707182 · Durable Medical Equipment & Medical Supplies · Los Angeles, CA
Pacific Coast Medical Supply is a Durable Medical Equipment & Medical Supplies organization in Los Angeles, CA (NPI 1053707182).
Provider details
- NPI number
- 1053707182
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Carie Mortensen, Ceo/President(562) 706-4552
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs 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
Other names (DBA / former)
- Former legal business name
- Gold Coast Diabetes
Registry dates
- Enumerated
- 2015-04-15
- Last updated
- 2015-04-24
Frequently asked questions
- What is Pacific Coast Medical Supply's NPI number?
- Pacific Coast Medical Supply's National Provider Identifier (NPI) is 1053707182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Coast Medical Supply?
- Pacific Coast Medical Supply is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Pacific Coast Medical Supply located?
- Pacific Coast Medical Supply's practice location on file with NPPES is 1704 W Manchester Ave, Los Angeles, CA 90047-3063.
- What is Pacific Coast Medical Supply's phone number?
- The practice phone number listed in the NPPES registry for Pacific Coast Medical Supply is (562) 706-4552.
- Who is the authorized official for Pacific Coast Medical Supply?
- The authorized official listed on Pacific Coast Medical Supply's NPPES record is Carie Mortensen, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Coast Medical Supply's NPI active?
- Yes — Pacific Coast Medical Supply's NPI (1053707182) is active in the NPPES registry as of the last update on 2015-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.