Provider Demographics
NPI:1730157009
Name:DESERT MEDICAL EQUIPMENT, INC
Entity type:Organization
Organization Name:DESERT MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MESHKANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-835-1000
Mailing Address - Street 1:1001 N WEIR CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2517
Mailing Address - Country:US
Mailing Address - Phone:714-835-1000
Mailing Address - Fax:714-973-8387
Practice Address - Street 1:17189 YUMA ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5886
Practice Address - Country:US
Practice Address - Phone:760-247-2903
Practice Address - Fax:760-247-9254
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AERO MOBILITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-10
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100426332B00000X
CAC51519335E00000X
CAC22409335E00000X
CA9850332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1730157009Medicaid
CA1268220001Medicare NSC