Organization Active NPI

E.T. Medical Services LLC

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1255041018
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
E.T. MEDICAL SERVICES LLC
Practice address
8300 Utica Ave # 157B
Rancho Cucamonga, CA 91730-3879
Phone
(909) 941-1511
Fax
(909) 941-1211
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Adnan Ghassan Abdelaziz
Title
Owner
Phone
(818) 640-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8300 Utica Ave # 157B
Rancho Cucamonga, CA 91730-3879

Mailing address

12228 Chorus Dr
Rancho Cucamonga, CA 91739-8757
Phone (818) 640-6270

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@etmedicalservices.com Direct

National Provider Directory

National Provider Directory

Locations

8300 Utica Ave
#157B
Rancho Cucamonga, CA 91730
Phone (909) 941-1511

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1255041018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12228 CHORUS DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398757",
            "telephone_number": "818-640-6270",
            "fax_number": "909-941-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 UTICA AVE # 157B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303879",
            "telephone_number": "909-941-1511",
            "fax_number": "909-941-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.T. MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "ABDELAZIZ",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_middle_name": "GHASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-640-6270"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@etmedicalservices.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8300 Utica Ave # 157B",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917303879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.