Providence Medical Supply LLC
NPI 1659096410 · Durable Medical Equipment & Medical Supplies · Ontario, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Medical Supply LLC is a Durable Medical Equipment & Medical Supplies organization in Ontario, CA (NPI 1659096410).
Provider details
- NPI number
- 1659096410
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Yusif Salia, Managing Director(213) 379-1424
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-10-04
- Last updated
- 2022-12-25
- Certified
- 2022-12-25
Frequently asked questions
- What is Providence Medical Supply LLC's NPI number?
- Providence Medical Supply LLC's National Provider Identifier (NPI) is 1659096410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical Supply LLC?
- Providence Medical Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Providence Medical Supply LLC located?
- Providence Medical Supply LLC's practice location on file with NPPES is 1125 N Mountain Ave, Ontario, CA 91762-1739.
- What is Providence Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical Supply LLC is (909) 443-7115.
- Does Providence Medical Supply LLC accept Medicare?
- Providence Medical 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 Providence Medical Supply LLC?
- The authorized official listed on Providence Medical Supply LLC's NPPES record is Yusif Salia, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Medical Supply LLC's NPI active?
- Yes — Providence Medical Supply LLC's NPI (1659096410) is active in the NPPES registry as of the last update on 2022-12-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.