IVY MEDICAL SUPPLY NPI 1821278995

NPI Information

  • NPI: 1821278995
  • Provider Name: IVY MEDICAL SUPPLY
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1304 S MAGNOLIA AVE
    ANAHEIM, CA
    ZIP 92804
  • Phone: (714) 484-9446

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NPI Details

IVY MEDICAL SUPPLY is a durable medical equipment medical supplies in Anaheim, 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. IVY MEDICAL SUPPLY NPI is 1821278995. The provider is registered as an organization entity type.

The provider's business location address is:

1304 S MAGNOLIA AVE
ANAHEIM, CA
ZIP 92804-118
Phone: (714) 484-9446
Fax: (714) 748-4157

The provider's authorized official is Emmanuel Chinwe Chidueme .
The authorized official title is Owner and has the following contact phone number (714) 484-9446.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 11/6/2007.

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 Supplies103722CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14504180001MEDICARE NSCCALIFORNIA

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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