ELITE DME NPI 1225859960

NPI Information

  • NPI: 1225859960
  • Provider Name: ELITE DME
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 1375 BONITA BAHIA
    BENICIA, CA
    ZIP 94510
  • Phone: (925) 250-9601

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NPI Details

ELITE DME is a parenteral and enteral nutrition durable medical equipment medical supplies in Benicia, CA. ELITE DME NPI is 1225859960. The provider is registered as an organization entity type.

The provider's business location address is:

1375 BONITA BAHIA
BENICIA, CA
ZIP 94510-405
Phone: (925) 250-9601

The provider's authorized official is Rafael Jackson .
The authorized official title is Owner and has the following contact phone number (707) 720-7245.

The enumeration date for this NPI number is 10/23/2024 and was last updated on 12/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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