Organization Active NPI

Reginald N. Adimorah

Doing business as Reazad Medical Supply Services

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1144362401
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
46549 Issued in CA
Legal business name
REGINALD N. ADIMORAH
Doing business as
Reazad Medical Supply Services
Practice address
2507 W 54TH St
Los Angeles, CA 90043-2612
Phone
(323) 292-2700
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Reginald N AdimorahNPI 1548410251
Title
Managing Director
Phone
(323) 292-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 46549 CA Primary

Addresses

Primary practice location

2507 W 54TH St
Los Angeles, CA 90043-2612

Mailing address

2507 W 54TH St
Los Angeles, CA 90043-2612

Other names 1

  • REAZAD MEDICAL SUPPLY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

2507 W 54th St
Los Angeles, CA 90043
Phone (323) 292-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1144362401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 W 54TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 W 54TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432612",
            "telephone_number": "323-292-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINALD N. ADIMORAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "ADIMORAH",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "323-292-2700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REAZAD MEDICAL SUPPLY 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 Sep 30, 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.