NPIMap

Organization Active NPI

Shubby Medical Distributors Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hawthorne, CA
National Provider Identifier
1295908085
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
49862 Issued in CA
Legal business name
SHUBBY MEDICAL DISTRIBUTORS INC.
Practice address
4240 W El Segundo Blvd # 100
Hawthorne, CA 90250-4542
Phone
(310) 675-1023
Fax
(310) 675-1509
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Chibuike Kingle Kalu
Title
Owner/Ceo
Phone
(310) 675-1023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 49862 CA Primary

Addresses

Primary practice location

4240 W El Segundo Blvd # 100
Hawthorne, CA 90250-4542

Mailing address

4240 W El Segundo Blvd # 100
Hawthorne, CA 90250-4542
Phone (310) 675-1023

National Provider Directory

National Provider Directory

Locations

4240 W El Segundo Blvd
Ste 100
Hawthorne, CA 90250
Phone (310) 675-1023

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1295908085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 W EL SEGUNDO BLVD # 100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504542",
            "telephone_number": "310-675-1023",
            "fax_number": "310-675-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 W EL SEGUNDO BLVD # 100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504542",
            "telephone_number": "310-675-1023",
            "fax_number": "310-675-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUBBY MEDICAL DISTRIBUTORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "CHIBUIKE",
        "authorized_official_middle_name": "KINGLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-675-1023"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "49862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.