Medicalshoppe.Com, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44021 Issued in CA

Legal business name

MEDICALSHOPPE.COM, INC.

Practice address

2501 Colorado Blvd
Suite H
Los Angeles, CA 90041-1055

Phone

(323) 340-3962

Fax

(323) 340-3963

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wilson A Martinez, BSC, LLB

Title

Ceo

Phone

(323) 340-3962

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iresh C Martinez, BSN, RN

  • Home Health Registered Nurse
  • Los Angeles, CA
  • NPI 1861611360
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265488522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COLORADO BLVD",
            "address_2": "SUITE H",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411055",
            "telephone_number": "323-340-3962",
            "fax_number": "323-340-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 COLORADO BLVD",
            "address_2": "SUITE H",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411055",
            "telephone_number": "323-340-3962",
            "fax_number": "323-340-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALSHOPPE.COM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-340-3962",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC, LLB"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03315F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Resource Solutions
• Medical Science Laboratory Inc
• Medical Spa Retreat, Inc
• Medical Supplies DME, LLC
• Medical Supply Center
• Medicalstationsupply
• Medicine Made Easy
• Medicure Health Services, Inc.
• Medidashboard LLC
• Medigence Health NJ, PC

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 22, 2020; 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.