Organization Active NPI

East Atlantic Enterprises

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, CA
National Provider Identifier
1265525596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103085 Issued in CA
Legal business name
EAST ATLANTIC ENTERPRISES
Practice address
275 E Market St
Long Beach, CA 90805-5909
Phone
(562) 984-5522
Fax
(562) 984-5533
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Adenuga Okunuga
Title
Proprietor
Phone
(562) 537-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103085 CA Primary

Addresses

Primary practice location

275 E Market St
Long Beach, CA 90805-5909

Mailing address

275 E Market St
Long Beach, CA 90805-5909
Phone (562) 984-5522

Other identifiers 1

IdentifierTypeStateIssuer
DME03155FMedicaidCA

Other names 1

  • Cardinal Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

275 E Market St
Long Beach, CA 90805
Phone (562) 984-5522

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265525596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E MARKET ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055909",
            "telephone_number": "562-984-5522",
            "fax_number": "562-984-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E MARKET ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055909",
            "telephone_number": "562-984-5522",
            "fax_number": "562-984-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ATLANTIC ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKUNUGA",
        "authorized_official_first_name": "ADENUGA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "562-537-0255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03155F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • 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.