KIMBO MEDICAL DISTRIBUTOR
KIMBO MEDICAL DISTRIBUTOR is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1891916367, based in Wilmington, CA. The organization lists 4 taxonomy classifications, with Parenteral & Enteral Nutrition Supplies (DME) recorded as primary.
Getting there
The practice address on file is 407 N AVALON BLVD, Wilmington, CA 90744. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 44548 | CA | Durable Medical Equipment & Medical… |
| 44548 | CA | Oxygen Equipment & Supplies (DME) |
| 44548 | CA | Prosthetic/Orthotic Supplier |
| 44548 | CA | Parenteral & Enteral Nutrition Supplies… primary |
This provider holds licence 44548 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Parenteral & Enteral Nutrition covers
Definition to come... NUCC Health Care Provider Taxonomy, code 332BP3500X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 44548 | CA | |
| 332BX2000X | Oxygen Equipment & Supplies (DME) Oxygen Equipment & Supplies | 44548 | CA | |
| 335E00000X | Prosthetic/Orthotic Supplier | 44548 | CA | |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) Parenteral & Enteral Nutrition | 44548 | CA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1891916367 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 1, 2007 |
| Last updated | Nov 9, 2011 |
| Status | Active |
| Practice address |
407 N AVALON BLVD Wilmington, CA 90744 (310) 834-9574 Fax (866) 398-5898 |
| Other names |
Kimbo Medical Distributor Former Legal Name |
| Other identifiers |
CMCSUBT9E
· Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 9 | 1 | 9 | 1 | 6 | 3 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 9 | 1 | 9 | 1 | 3 | 3 | 3 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.