Provision Medical Supply
Durable Medical Equipment & Medical Supplies
777 W 19th St Ste F, Costa Mesa
California, 92627-6131
949-662-3933 Provision Medical Supply is a Durable Medical Equipment & Medical Supplies in Costa Mesa, California. It is located at 777 W 19th St Ste F, Costa Mesa and it's customer support contact number is 949-662-3933. The authorized person of Provision Medical Supply is Patrick Parke who is Ceo of this DME and his contact number is 949-662-3933.
Provision Medical Supply 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.
DME Supplier Details:
Provision Medical Supply type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Provision Medical Supply |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 777 W 19th St Ste F, Costa Mesa,
California, 92627-6131 |
| Phone: | 949-662-3933 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Patrick Parke |
| Position: | Ceo |
| Contact Number: | 949-662-3933 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1770055477 |
| NPI Enumeration Date: | 19 Dec, 2018 |
| NPI Last Update On: | 09 Jun, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Provision Medical Supply are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 777 W 19th St Ste F,
Costa Mesa, California |
| Zip: | 92627-6131 |
| Phone Number: | 949-662-3933 |
Patients can reach Provision Medical Supply at
777 W 19th St Ste F, Costa Mesa, California or can
call on customer care at 949-662-3933.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.