Organization Active NPI

El Monte Medical Supply LLC.

  • Durable Medical Equipment & Medical Supplies
  • South El Monte, CA
National Provider Identifier
1245414515
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
28935 Issued in CA
Legal business name
EL MONTE MEDICAL SUPPLY LLC.
Practice address
9663 Garvey Ave
Suite 124
South El Monte, CA 91733-1096
Phone
(626) 579-2500
Fax
(626) 579-2555
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Mr. Artem Anatolyevich Fadeev
Title
President
Phone
(626) 579-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 28935 CA Primary

Addresses

Primary practice location

9663 Garvey Ave
Suite 124
South El Monte, CA 91733-1096

Mailing address

9663 Garvey Ave
Suite 124
South El Monte, CA 91733-1096
Phone (626) 579-2500

National Provider Directory

National Provider Directory

Locations

9663 Garvey Ave
Ste 124
South El Monte, CA 91733
Phone (626) 579-2500

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1245414515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 GARVEY AVE",
            "address_2": "SUITE 124",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917331096",
            "telephone_number": "626-579-2500",
            "fax_number": "626-579-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9663 GARVEY AVE",
            "address_2": "SUITE 124",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917331096",
            "telephone_number": "626-579-2500",
            "fax_number": "626-579-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MONTE MEDICAL SUPPLY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "FADEEV",
        "authorized_official_first_name": "ARTEM",
        "authorized_official_middle_name": "ANATOLYEVICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-579-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "28935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.