# AMERICAN SURGICAL MEDICAL SUPPLY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093277485
- **Authorized official:** MR. ALLEN LAFAYETTE NEWSOME III RTS (VICE PRESIDNET)
- **Authorized official phone:** (760) 599-8800

## Contact information

- **Practice address:** 24735 REDLANDS BLVD STE A, LOMA LINDA, CA 92354-4033
- **Practice address phone:** (866) 611-7205
- **Practice address fax:** (909) 366-5988
- **Mailing address:** 6965 EL CAMINO REAL \# 105-253, CARLSBAD, CA 92009-4100
- **Mailing address phone:** (760) 599-8800
- **Mailing address fax:** (760) 599-8844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2019
- **Last updated:** 01/06/2022