Provision Medical Supply
NPI 1770055477 · Durable Medical Equipment & Medical Supplies · Costa Mesa, CA
Provision Medical Supply is a Durable Medical Equipment & Medical Supplies organization in Costa Mesa, CA (NPI 1770055477).
Provider details
- NPI number
- 1770055477
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Patrick Parke, Ceo(949) 662-3933
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2018-12-19
- Last updated
- 2021-06-09
- Certified
- 2021-06-09
Frequently asked questions
- What is Provision Medical Supply's NPI number?
- Provision Medical Supply's National Provider Identifier (NPI) is 1770055477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provision Medical Supply?
- Provision Medical Supply is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Provision Medical Supply located?
- Provision Medical Supply's practice location on file with NPPES is 777 W 19th St Ste F, Costa Mesa, CA 92627-6131.
- What is Provision Medical Supply's phone number?
- The practice phone number listed in the NPPES registry for Provision Medical Supply is (949) 662-3933.
- Who is the authorized official for Provision Medical Supply?
- The authorized official listed on Provision Medical Supply's NPPES record is Patrick Parke, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provision Medical Supply's NPI active?
- Yes — Provision Medical Supply's NPI (1770055477) is active in the NPPES registry as of the last update on 2021-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.