OrganizationActive
Source One Medical Inc
NPI 1619972239 · Customized Equipment (DME) · Irvine, CA
Provider details
- NPI number
- 1619972239
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Dennis Kline, President/Ceo(888) 447-9056
- License
- 103616 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
16 Technology Dr
Suite 165
Irvine, CA 92618-2328
Phone: (888) 447-9056
Fax: (949) 387-6371
Street-level locationGet directions
Mailing address
16 Technology Dr
Irvine, CA 92618-2328
Other names (DBA / former)
- Former legal business name
- Source One Medical Inc
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2012-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.