Organization Active NPI

Olugbenga David Awonusi

Doing business as Dynaprompt Medical Distributors

  • Durable Medical Equipment & Medical Supplies
  • Lancaster, CA
National Provider Identifier
1023298536
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103686 Issued in CA
Legal business name
OLUGBENGA DAVID AWONUSI
Doing business as
Dynaprompt Medical Distributors
Practice address
44815 Fig Street
Suite 103
Lancaster, CA 93534
Phone
(661) 945-9901
Fax
(661) 948-4627
NPI assigned
Nov 13, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Olugbenga David Awonusi
Title
Owner
Phone
(661) 945-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103686 CA Primary

Addresses

Primary practice location

44815 Fig Street
Suite 103
Lancaster, CA 93534

Mailing address

44815 Fig Street
Suite 103
Lancaster, CA 93534
Phone (661) 945-9901

Other identifiers 1

IdentifierTypeStateIssuer
DME03335FMedicaidCA

Other names 1

  • DYNAPROMPT MEDICAL DISTRIBUTORS Doing business as

National Provider Directory

National Provider Directory

Locations

44815 Fig Ave
Ste 103
Lancaster, CA 93534
Phone (661) 945-9901

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1023298536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44815 FIG STREET",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-945-9901",
            "fax_number": "661-948-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44815 FIG STREET",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-945-9901",
            "fax_number": "661-948-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUGBENGA DAVID AWONUSI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "AWONUSI",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-945-9901"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03335F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAPROMPT MEDICAL DISTRIBUTORS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.