Organization Active NPI

Lillian Mae Cannady a J Healthcare Supply

  • Durable Medical Equipment & Medical Supplies
  • Buena Park, CA
National Provider Identifier
1316127897
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LILLIAN MAE CANNADY A J HEALTHCARE SUPPLY
Practice address
7151 Lincoln Ave
Suite F
Buena Park, CA 90620-4613
Phone
(714) 761-4831
Fax
(714) 761-4833
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ms. Lillian Mae CannadyNPI 1801990312
Title
Owner
Phone
(714) 761-4831

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7151 Lincoln Ave
Suite F
Buena Park, CA 90620-4613

Mailing address

7151 Lincoln Ave
Suite F
Buena Park, CA 90620-4613
Phone (714) 761-4831

National Provider Directory

National Provider Directory

Locations

7151 Lincoln Ave
Ste F
Buena Park, CA 90620
Phone (714) 761-4831

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1316127897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE",
            "address_2": "SUITE F",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204613",
            "telephone_number": "714-761-4831",
            "fax_number": "714-761-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE",
            "address_2": "SUITE F",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204613",
            "telephone_number": "714-761-4831",
            "fax_number": "714-761-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN MAE CANNADY A J HEALTHCARE SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "CANNADY",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-761-4831",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.