NPIMap

Organization Active NPI

Fame Health Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1063569606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
46271 Issued in CA
Legal business name
FAME HEALTH SERVICES, INC.
Practice address
10710 Avalon Blvd
Los Angeles, CA 90061-2522
Phone
(323) 779-7916
Fax
(323) 779-7916
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Felix A Anugom
Title
Owner
Phone
(323) 779-7916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 46271 CA Primary

Addresses

Primary practice location

10710 Avalon Blvd
Los Angeles, CA 90061-2522

Mailing address

10710 Avalon Blvd
Los Angeles, CA 90061-2522
Phone (323) 779-7916

Other identifiers 1

IdentifierTypeStateIssuer
46271OtherCAHMDR

National Provider Directory

National Provider Directory

Locations

10710 Avalon Blvd
Los Angeles, CA 90061
Phone (323) 779-7916

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063569606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612522",
            "telephone_number": "323-779-7916",
            "fax_number": "323-779-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612522",
            "telephone_number": "323-779-7916",
            "fax_number": "323-779-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANUGOM",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-779-7916"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "46271",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.