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

Waterman Medical Supply Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1205070729

Waterman Medical Supply Inc is a Durable Medical Equipment & Medical Supplies in San Bernardino, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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

1364 N Waterman Ave # 105
San Bernardino, CA 92404-5313
Phone: (909) 383-7284
Fax: (909) 383-5433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 51274 (CA)

Record details

NPI number1205070729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sergey Ivanov — Ceo · (909) 383-7284
NPI enumeratedApril 28, 2009
Last updated in NPPESMay 21, 2009
Mailing address1364 N Waterman Ave, 105, San Bernardino, CA 92404-5313

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