Organization
NORTH COAST MEDICAL SUPPLY, LLC
Active
Other names
Advanced Diabetes Supply
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ALVAREZ (SVP CUSTOMER OPERATIONS)
(800) 321-0591
Entity
Organization
Contact information
Practice address
2544 CAMPBELL PL STE 150, CARLSBAD, CA 92009-1768
(800) 730-9887
(800) 503-6280
Mailing address
PO BOX 9041, CARLSBAD, CA 92018-9041
(800) 730-9887
(800) 503-6280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601690
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA466150
—
CA
Enumeration date
07/26/2021
Last updated
11/06/2025
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