NPIMap

Organization Active NPI

Easy Access Medical Supply, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Downey, CA
National Provider Identifier
1285855619
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
EASY ACCESS MEDICAL SUPPLY, INC.
Practice address
12555 Lakewood Blvd Ste B
Downey, CA 90242-2771
Phone
(562) 861-6308
Fax
(562) 861-6357
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Grace AdeagboNPI 1992986731
Title
President
Phone
(562) 861-6308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

12555 Lakewood Blvd Ste B
Downey, CA 90242-2771

Mailing address

12555 Lakewood Blvd Ste B
Downey, CA 90242-2771
Phone (562) 861-6308

National Provider Directory

National Provider Directory

Locations

12555 Lakewood Blvd
Ste B
Downey, CA 90242
Phone (562) 861-6308

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1285855619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 LAKEWOOD BLVD STE B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422771",
            "telephone_number": "562-861-6308",
            "fax_number": "562-861-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 LAKEWOOD BLVD STE B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422771",
            "telephone_number": "562-861-6308",
            "fax_number": "562-861-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY ACCESS MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "ADEAGBO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-861-6308"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.