NPIMap

Organization Active NPI

Ladb Medical Supplies, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1023410412
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1083937122 Issued in OH
Legal business name
LADB MEDICAL SUPPLIES, LLC.
Practice address
1854 Colby Ave Apt 1
Los Angeles, CA 90025-5420
Phone
(310) 347-2752
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Mr. Anthony David Bamonte
Title
Owner
Phone
(310) 347-2752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1083937122 OH Primary

Addresses

Primary practice location

1854 Colby Ave Apt 1
Los Angeles, CA 90025-5420

Mailing address

1854 Colby Ave Apt 1
Los Angeles, CA 90025-5420
Phone (310) 347-2752

Other identifiers 1

IdentifierTypeStateIssuer
3031605MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1023410412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 COLBY AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255420",
            "telephone_number": "310-347-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 COLBY AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255420",
            "telephone_number": "310-347-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADB MEDICAL SUPPLIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BAMONTE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-347-2752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "1083937122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031605",
            "state": "OH"
        }
    ],
    "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 Sep 17, 2014; 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.