Ja Medical Supplies.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

C37948 Issued in CA

Legal business name

JA MEDICAL SUPPLIES.

Practice address

675 N Park Ave
Pomona, CA 91768-3622

Phone

(909) 868-1160

Fax

(909) 469-6086

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Andrea Madrigal

Title

Administrative Assistant

Phone

(909) 868-1160

Specialties & licenses 1

Addresses

Other names 1

• JA Medical Supplies Other name

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1194958108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683622",
            "telephone_number": "909-868-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683622",
            "telephone_number": "909-868-1160",
            "fax_number": "909-469-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA MEDICAL SUPPLIES.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "909-868-1160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "C37948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JA Medical Supplies",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Pomona, CA
• Providers in Pomona, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.