Organization Active NPI

Fendih Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Bernardino, CA
National Provider Identifier
1316070998
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44823 Issued in CA
Legal business name
FENDIH MEDICAL SUPPLIES, INC.
Practice address
416 N H St
Suite 5
San Bernardino, CA 92410-3258
Phone
(909) 387-0853
Fax
(909) 885-6261
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Victoria Onyeabor
Title
President
Phone
(909) 387-0853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 44823 CA Primary

Addresses

Primary practice location

416 N H St
Suite 5
San Bernardino, CA 92410-3258

Mailing address

416 N H St
Suite 5
San Bernardino, CA 92410-3258
Phone (909) 387-0853

Other identifiers 1

IdentifierTypeStateIssuer
DME03417FMedicaidCA

National Provider Directory

National Provider Directory

Locations

416 N H St
Ste 5
San Bernardino, CA 92410
Phone (909) 387-0853

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1316070998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N H ST",
            "address_2": "SUITE 5",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103258",
            "telephone_number": "909-387-0853",
            "fax_number": "909-885-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N H ST",
            "address_2": "SUITE 5",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103258",
            "telephone_number": "909-387-0853",
            "fax_number": "909-885-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENDIH MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "ONYEABOR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-387-0853"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03417F",
            "state": "CA"
        }
    ],
    "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 Nov 5, 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.