Pacific Health Supply LLC
NPI 1639975113 · Durable Medical Equipment & Medical Supplies · La Jolla, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Health Supply LLC is a Durable Medical Equipment & Medical Supplies organization in La Jolla, CA (NPI 1639975113).
Provider details
- NPI number
- 1639975113
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Saad Abdrabou Abdelra Metwally, Owner(858) 222-3560
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-02-24
- Last updated
- 2025-02-26
- Certified
- 2025-02-24
Frequently asked questions
- What is Pacific Health Supply LLC's NPI number?
- Pacific Health Supply LLC's National Provider Identifier (NPI) is 1639975113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Health Supply LLC?
- Pacific Health Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Pacific Health Supply LLC located?
- Pacific Health Supply LLC's practice location on file with NPPES is 4225 Executive Sq, La Jolla, CA 92037-1484.
- What is Pacific Health Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Pacific Health Supply LLC is (858) 222-3560.
- Does Pacific Health Supply LLC accept Medicare?
- Pacific Health Supply LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Health Supply LLC?
- The authorized official listed on Pacific Health Supply LLC's NPPES record is Saad Abdrabou Abdelra Metwally, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Health Supply LLC's NPI active?
- Yes — Pacific Health Supply LLC's NPI (1639975113) is active in the NPPES registry as of the last update on 2025-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.