NPIMap

Organization Active NPI

Santos Olumese

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1104047950
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMDRL 47070 Issued in CA
Legal business name
SANTOS OLUMESE
Practice address
4969 W Adams Blvd
Los Angeles, CA 90016-2849
Phone
(323) 373-1870
Fax
(323) 212-3511
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Authorized official

Name
Mr. Santos Olumese
Title
Director of Operations
Phone
(323) 373-1870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HMDRL 47070 CA Primary

Addresses

Primary practice location

4969 W Adams Blvd
Los Angeles, CA 90016-2849

Mailing address

4969 W Adams Blvd
Los Angeles, CA 90016-2849
Phone (323) 373-1870

Other names 1

  • Absolute Medical Supplies & Services Doing business as

National Provider Directory

National Provider Directory

Locations

4969 W Adams Blvd
Los Angeles, CA 90016
Phone (323) 373-1870

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1104047950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900162849",
            "telephone_number": "323-373-1870",
            "fax_number": "323-212-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900162849",
            "telephone_number": "323-373-1870",
            "fax_number": "323-212-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS OLUMESE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "OLUMESE",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "323-373-1870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "HMDRL 47070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Medical Supplies & Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 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.