Organization Active NPI

A1 Quality Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Colton, CA
National Provider Identifier
1235272188
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
A1 QUALITY MEDICAL SUPPLY
Practice address
582 W Valley Blvd
Unit 9
Colton, CA 92324-2273
Phone
(909) 433-0111
Fax
(909) 433-0231
NPI assigned
Feb 14, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Adewale O Fajewonyomi
Title
Owner
Phone
(909) 433-0111

Specialties & licenses 1

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

Addresses

Primary practice location

582 W Valley Blvd
Unit 9
Colton, CA 92324-2273

Mailing address

582 W Valley Blvd
Unit 9
Colton, CA 92324-2273
Phone (909) 433-0111

National Provider Directory

National Provider Directory

Locations

582 W Valley Blvd
Ste 9
Colton, CA 92324
Phone (909) 433-0111

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1235272188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 W VALLEY BLVD",
            "address_2": "UNIT 9",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242273",
            "telephone_number": "909-433-0111",
            "fax_number": "909-433-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 W VALLEY BLVD",
            "address_2": "UNIT 9",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242273",
            "telephone_number": "909-433-0111",
            "fax_number": "909-433-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 QUALITY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "FAJEWONYOMI",
        "authorized_official_first_name": "ADEWALE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-433-0111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.