GENESIS5 LLC NPI 1629437090

NPI Information

  • NPI: 1629437090
  • Provider Name: GENESIS5 LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: 5 STAR MEDICAL SUPPLY
  • Address: 7066 VILLAGE PARKWAY
    DUBLIN, CA
    ZIP 94568
  • Phone: (925) 324-2612

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NPI Details

GENESIS5 LLC is a durable medical equipment medical supplies in Dublin, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GENESIS5 LLC NPI is 1629437090. The provider is registered as an organization entity type.
The provider Is Doing Business As 5 Star Medical Supply.

The provider's business location address is:

7066 VILLAGE PARKWAY
DUBLIN, CA
ZIP 94568
Phone: (925) 324-2612

The provider's authorized official is Alvin Ponce .
The authorized official title is Partner and has the following contact phone number (925) 324-2612.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.

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
1332B00000XDurable Medical Equipment & Medical Supplies474684618CALIFORNIAYes

What is NPI?

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

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