Rebel Distributors
NPI 1366657488ActiveOrganization· Non-Pharmacy Dispensing Site· Thousand Oaks, CA
Non-Pharmacy Dispensing Site in Thousand Oaks, California, registered in NPPES in May 2007. The authorized official on file is Destry Setser, Ceo/Owner.
Overview
| NPI | 1366657488 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2007 |
| Last updated in NPPES | Feb 3, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | WLS3004 | CA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | WLS3004 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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