Mira Integrated Holdings Inc
NPI 1902307713 · Durable Medical Equipment & Medical Supplies · San Dimas, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Respiratory Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mira Integrated Holdings Inc is a Durable Medical Equipment & Medical Supplies organization in San Dimas, CA (NPI 1902307713).
Provider details
- NPI number
- 1902307713
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Arnold Aquino, President(909) 657-5557
- License
- 98254 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Other names (DBA / former)
- Doing business as
- Supreme Healthcare
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2022-01-21
- Certified
- 2022-01-21
Frequently asked questions
- What is Mira Integrated Holdings Inc's NPI number?
- Mira Integrated Holdings Inc's National Provider Identifier (NPI) is 1902307713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mira Integrated Holdings Inc?
- Mira Integrated Holdings Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Mira Integrated Holdings Inc located?
- Mira Integrated Holdings Inc's practice location on file with NPPES is 433 W Allen Ave Ste 112, San Dimas, CA 91773-4704.
- What is Mira Integrated Holdings Inc's phone number?
- The practice phone number listed in the NPPES registry for Mira Integrated Holdings Inc is (909) 657-5557.
- Does Mira Integrated Holdings Inc accept Medicare?
- Mira Integrated Holdings Inc 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 Mira Integrated Holdings Inc?
- The authorized official listed on Mira Integrated Holdings Inc's NPPES record is Arnold Aquino, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mira Integrated Holdings Inc's NPI active?
- Yes — Mira Integrated Holdings Inc's NPI (1902307713) is active in the NPPES registry as of the last update on 2022-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.