Organization Active NPI

Elixair Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Alamitos, CA
National Provider Identifier
1104803634
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELIXAIR MEDICAL INC
Practice address
10621 Bloomfield St
Suite 13
Los Alamitos, CA 90720-2528
Phone
(562) 598-8889
Fax
(562) 598-8879
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. George Nour
Title
President
Phone
(562) 598-8889

Specialties & licenses 1

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

Addresses

Primary practice location

10621 Bloomfield St
Suite 13
Los Alamitos, CA 90720-2528

Mailing address

10621 Bloomfield St
Suite 13
Los Alamitos, CA 90720-2528
Phone (562) 598-8889

Other identifiers 1

IdentifierTypeStateIssuer
DME01711FMedicaidCA

National Provider Directory

National Provider Directory

Locations

10621 Bloomfield St
Ste 13
Los Alamitos, CA 90720
Phone (562) 598-8889

12130 Mora Dr
Ste 1
Santa Fe Springs, CA 90670
Phone (562) 204-0700

12035 Burke St
Ste 13
Santa Fe Springs, CA 90670
Phone (800) 354-9247

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104803634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 BLOOMFIELD ST",
            "address_2": "SUITE 13",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202528",
            "telephone_number": "562-598-8889",
            "fax_number": "562-598-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 BLOOMFIELD ST",
            "address_2": "SUITE 13",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202528",
            "telephone_number": "562-598-8889",
            "fax_number": "562-598-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIXAIR MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NOUR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-598-8889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01711F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.