{"npi":"1477286227","type":"NPI-2","status":"active","name":{"display":"Evolution Medical Supplies LLC","other":[],"organization_name":"EVOLUTION MEDICAL SUPPLIES LLC","authorised_official":"Colin Mativo"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6803 INTERNATIONAL AVE STE 201","city":"CYPRESS","state":"CA","postal_code":"906305114","country_code":"US","phone":"7148695650","fax":"5627415889"},{"purpose":"MAILING","street_1":"6803 INTERNATIONAL AVE STE 201","city":"CYPRESS","state":"CA","postal_code":"906305114","country_code":"US","phone":"7148695650","fax":"5627415889"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"125409","state":"CA","issuer":"HDMR LICENSE"},{"type_code":"01","label":"Other","value":"218049632-00001","state":"CA","issuer":"SELLERS PERMIT"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20251030004063","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"CA","pac_id":"9234628074"}]},"enumeration_date":"2022-07-07","last_updated":"2025-06-21","_meta":{"source":"NPPES","snapshot_date":"2025-06-21","doc_url":"https://findmynpi.com/api"}}