Organization Active NPI

El Dorado DME, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
National Provider Identifier
1295963304
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EL DORADO DME, INC.
Practice address
1136 N Mount Vernon Ave
Ste #305
San Bernardino, CA 92411-2231
Phone
(909) 888-5035
Fax
(909) 888-8468
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Mr. Artur Nabiyev
Title
President
Phone
(909) 888-5035

Specialties & licenses 1

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

Addresses

Primary practice location

1136 N Mount Vernon Ave
Ste #305
San Bernardino, CA 92411-2231

Mailing address

1136 N Mount Vernon Ave
Ste #305
San Bernardino, CA 92411-2231
Phone (909) 888-5035

National Provider Directory

National Provider Directory

Locations

1136 N Mount Vernon Ave
Ste 305
San Bernardino, CA 92411
Phone (909) 888-5035

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1295963304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 N MOUNT VERNON AVE",
            "address_2": "STE #305",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924112231",
            "telephone_number": "909-888-5035",
            "fax_number": "909-888-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 N MOUNT VERNON AVE",
            "address_2": "STE #305",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924112231",
            "telephone_number": "909-888-5035",
            "fax_number": "909-888-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO DME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "NABIYEV",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-888-5035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.