Waterman Medical Supply Inc
NPI 1205070729 · Durable Medical Equipment & Medical Supplies · San Bernardino, CA
Waterman Medical Supply Inc is a Durable Medical Equipment & Medical Supplies organization in San Bernardino, CA (NPI 1205070729).
Provider details
- NPI number
- 1205070729
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Sergey Ivanov, Ceo(909) 383-7284
- License
- 51274 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Registry dates
- Enumerated
- 2009-04-28
- Last updated
- 2009-05-21
Frequently asked questions
- What is Waterman Medical Supply Inc's NPI number?
- Waterman Medical Supply Inc's National Provider Identifier (NPI) is 1205070729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterman Medical Supply Inc?
- Waterman Medical Supply Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Waterman Medical Supply Inc located?
- Waterman Medical Supply Inc's practice location on file with NPPES is 1364 N Waterman Ave, San Bernardino, CA 92404-5313.
- What is Waterman Medical Supply Inc's phone number?
- The practice phone number listed in the NPPES registry for Waterman Medical Supply Inc is (909) 383-7284.
- Who is the authorized official for Waterman Medical Supply Inc?
- The authorized official listed on Waterman Medical Supply Inc's NPPES record is Sergey Ivanov, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterman Medical Supply Inc's NPI active?
- Yes — Waterman Medical Supply Inc's NPI (1205070729) is active in the NPPES registry as of the last update on 2009-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.