Active NPI
Nkem Iheanaju
- Durable Medical Equipment & Medical Supplies
- Carson, CA
National Provider Identifier
1336317403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 103335
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.