Formulation Materials
NPI 1609712728 · Durable Medical Equipment & Medical Supplies · Phelan, CA
Formulation Materials is a Durable Medical Equipment & Medical Supplies organization in Phelan, CA (NPI 1609712728).
Provider details
- NPI number
- 1609712728
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Darryl Lateef Johnson, Ceo(213) 800-9815
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Formulation Materials's NPI number?
- Formulation Materials's National Provider Identifier (NPI) is 1609712728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Formulation Materials?
- Formulation Materials is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Formulation Materials located?
- Formulation Materials's practice location on file with NPPES is 9121 Darwin Rd, Phelan, CA 92371-9294.
- What is Formulation Materials's phone number?
- The practice phone number listed in the NPPES registry for Formulation Materials is (213) 800-9815.
- Who is the authorized official for Formulation Materials?
- The authorized official listed on Formulation Materials's NPPES record is Darryl Lateef Johnson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Formulation Materials's NPI active?
- Yes — Formulation Materials's NPI (1609712728) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.