Organization Active NPI

New Hope Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Hawthorne, CA
National Provider Identifier
1336350727
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102952 Issued in CA
Legal business name
NEW HOPE MEDICAL SUPPLY
Practice address
13663 Prairie Ave
Suite B
Hawthorne, CA 90250-7372
Phone
(310) 263-7047
Fax
(310) 263-1859
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Ejike Ejimeogu
Title
Manager
Phone
(310) 263-7047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102952 CA Primary

Addresses

Primary practice location

13663 Prairie Ave
Suite B
Hawthorne, CA 90250-7372

Mailing address

13663 Prairie Ave
Suite B
Hawthorne, CA 90250-7372
Phone (310) 263-7047

Other identifiers 1

IdentifierTypeStateIssuer
17632OtherCAEXEMPTEE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336350727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13663 PRAIRIE AVE",
            "address_2": "SUITE B",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507372",
            "telephone_number": "310-263-7047",
            "fax_number": "310-263-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13663 PRAIRIE AVE",
            "address_2": "SUITE B",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507372",
            "telephone_number": "310-263-7047",
            "fax_number": "310-263-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EJIMEOGU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EJIKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-263-7047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXEMPTEE",
            "identifier": "17632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.