OrganizationActive
Pacific Medical Supply
NPI 1376634873 · Durable Medical Equipment & Medical Supplies · Corona, CA
Provider details
- NPI number
- 1376634873
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Fidelis Ekong, Owner(951) 552-0322
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
574 Calhoun St
Corona, CA 92879-5846
Phone: (951) 553-0322
Fax: (951) 279-6004
Street-level locationGet directions
Mailing address
574 Calhoun St
Corona, CA 92879-5846
Other names (DBA / former)
- Doing business as
- Pacific Medical Supply
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.