Organization Active NPI

Lutemi Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Carson, CA
National Provider Identifier
1053534263
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
47218 Issued in CA
Legal business name
LUTEMI MEDICAL SUPPLY, INC.
Practice address
550 E Carson Plaza Dr
Suite 125
Carson, CA 90746-3229
Phone
(310) 324-9265
Fax
(310) 324-0956
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Olufunke I Fadojutimi
Title
President
Phone
(310) 324-9265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 47218 CA Primary

Addresses

Primary practice location

550 E Carson Plaza Dr
Suite 125
Carson, CA 90746-3229

Mailing address

550 E Carson Plaza Dr
Suite 125
Carson, CA 90746-3229
Phone (310) 324-9265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1053534263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR",
            "address_2": "SUITE 125",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463229",
            "telephone_number": "310-324-9265",
            "fax_number": "310-324-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR",
            "address_2": "SUITE 125",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463229",
            "telephone_number": "310-324-9265",
            "fax_number": "310-324-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTEMI MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "FADOJUTIMI",
        "authorized_official_first_name": "OLUFUNKE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-324-9265"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "47218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.