Organization Active NPI

Nkem Iheanaju

  • Durable Medical Equipment & Medical Supplies
  • Carson, CA
National Provider Identifier
1336317403
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103335 Issued in CA
Legal business name
NKEM IHEANAJU
Practice address
1300 E 223Rd St
Suite 407
Carson, CA 90745-4355
Phone
(310) 221-5310
Fax
(310) 834-6119
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mr. Nkem Iheanaju
Title
President/Owner
Phone
(310) 221-5310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103335 CA Primary
Prosthetic/Orthotic Supplier 335E00000X 103335 CA

Addresses

Primary practice location

1300 E 223Rd St
Suite 407
Carson, CA 90745-4355

Mailing address

PO Box 1541
Hawthorne, CA 90251-1541
Phone (310) 221-5310

Other names 1

  • GLOBAL COMMERCE Doing business as

National Provider Directory

National Provider Directory

Locations

1300 E 223rd St
Ste 407
Carson, CA 90745
Phone (310) 221-5310

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1336317403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902511541",
            "telephone_number": "310-221-5310",
            "fax_number": "310-834-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 223RD ST",
            "address_2": "SUITE 407",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454355",
            "telephone_number": "310-221-5310",
            "fax_number": "310-834-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKEM IHEANAJU",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "IHEANAJU",
        "authorized_official_first_name": "NKEM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-221-5310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103335",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "103335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLOBAL COMMERCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.