Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Source One Medical Inc

Organization Customized Equipment (DME) · NPI 1619972239

Source One Medical Inc provides 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 Not confirmed with CMS for 14 years — call before visiting
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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