Organization Active NPI

Connectpro Med Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Cerritos, CA
National Provider Identifier
1396559787
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CONNECTPRO MED SUPPLY LLC
Practice address
17258 Monaco Dr
Cerritos, CA 90703-2762
Phone
(818) 305-9457
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Nabila Imran
Title
Owner
Phone
(818) 305-9457

Specialties & licenses 1

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

Addresses

Primary practice location

17258 Monaco Dr
Cerritos, CA 90703-2762

Mailing address

17258 Monaco Dr
Cerritos, CA 90703-2762

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1396559787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17258 MONACO DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17258 MONACO DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032762",
            "telephone_number": "818-305-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTPRO MED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "IMRAN",
        "authorized_official_first_name": "NABILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-305-9457"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.