Organization Active NPI

Citizens Care Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Pedro, CA
National Provider Identifier
1245471093
Registry record updated Mar 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CITIZENS CARE SERVICES, INC.
Practice address
1104 S Pacific Ave
San Pedro, CA 90731-4104
Phone
(310) 547-4566
Fax
(310) 547-4576
NPI assigned
Mar 8, 2009
Last updated
Mar 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2009

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

Authorized official

Name
Lynda Adiya Inegbenoise
Title
Ceo
Phone
(310) 547-4566

Specialties & licenses 1

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

Addresses

Primary practice location

1104 S Pacific Ave
San Pedro, CA 90731-4104

Mailing address

1104 S Pacific Ave
San Pedro, CA 90731-4104
Phone (310) 547-4566

National Provider Directory

National Provider Directory

Locations

1104 S Pacific Ave
San Pedro, CA 90731
Phone (310) 547-4566

NPI Registry JSON

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

{
    "created_epoch": "1236470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236470400000",
    "number": "1245471093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 S PACIFIC AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314104",
            "telephone_number": "310-547-4566",
            "fax_number": "310-547-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S PACIFIC AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314104",
            "telephone_number": "310-547-4566",
            "fax_number": "310-547-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-08",
        "last_updated": "2009-03-08",
        "status": "A",
        "authorized_official_last_name": "INEGBENOISE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "ADIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-547-4566"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.