1st Source Medical Supply, LLC
NPI 1538610662 · Durable Medical Equipment & Medical Supplies · Upland, CA
1st Source Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies organization in Upland, CA (NPI 1538610662).
Provider details
- NPI number
- 1538610662
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Villard Mccoy, Owner(951) 350-4020
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-10-24
- Last updated
- 2016-10-24
Frequently asked questions
- What is 1st Source Medical Supply, LLC's NPI number?
- 1st Source Medical Supply, LLC's National Provider Identifier (NPI) is 1538610662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1st Source Medical Supply, LLC?
- 1st Source Medical Supply, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is 1st Source Medical Supply, LLC located?
- 1st Source Medical Supply, LLC's practice location on file with NPPES is 1123 W 9th St, Upland, CA 91786-5704.
- What is 1st Source Medical Supply, LLC's phone number?
- The practice phone number listed in the NPPES registry for 1st Source Medical Supply, LLC is (951) 350-4020.
- Who is the authorized official for 1st Source Medical Supply, LLC?
- The authorized official listed on 1st Source Medical Supply, LLC's NPPES record is Villard Mccoy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1st Source Medical Supply, LLC's NPI active?
- Yes — 1st Source Medical Supply, LLC's NPI (1538610662) is active in the NPPES registry as of the last update on 2016-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.