Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Source One Medical Inc

Organization Customized Equipment (DME) · NPI 1619972239

Source One Medical Inc is a Customized Equipment (DME) in Irvine, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 Technology Dr Ste 165
Irvine, CA 92618-2328
Phone: (888) 447-9056
Fax: (949) 387-6371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 103616 (CA)

Record details

NPI number1619972239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Kline — President/Ceo · (888) 447-9056
Other names Source One Medical Inc
NPI enumeratedJune 20, 2005
Last updated in NPPESMay 14, 2012
Mailing address16 Technology Dr, Suite165, Irvine, CA 92618-2328

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