Individual provider Active NPI

Sheik Abdullah Mohamed Ismail, CNA

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1013406032
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
447 S Berendo St Apt 105
Los Angeles, CA 90020-2133
Phone
(714) 916-3155
NPI assigned
May 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

447 S Berendo St Apt 105
Los Angeles, CA 90020-2133

Mailing address

447 S Berendo St Apt 105
Los Angeles, CA 90020-2133
Phone (714) 916-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1013406032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 S BERENDO ST APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202133",
            "telephone_number": "714-916-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S BERENDO ST APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202133",
            "telephone_number": "714-916-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED ISMAIL",
        "first_name": "SHEIK ABDULLAH",
        "name_prefix": "Mr.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.