NPIMap

Organization Active NPI

Donald N Iwuagwu

Doing business as Nadonah Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Quartz Hill, CA
National Provider Identifier
1407051618
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
47180 Issued in CA
Legal business name
DONALD N IWUAGWU
Doing business as
Nadonah Medical Supply
Practice address
5021 Columbia Way
Quartz Hill, CA 93536-3010
Phone
(661) 718-3870
NPI assigned
Jun 18, 2007
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Mr. Donald Nnamdi IwuagwuNPI 1093846453
Title
C.E.O
Phone
(661) 718-3870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 47180 CA Primary

Addresses

Primary practice location

5021 Columbia Way
Quartz Hill, CA 93536-3010

Mailing address

5021 Columbia Way
Quartz Hill, CA 93536-3010
Phone (661) 718-3870

Other identifiers 1

IdentifierTypeStateIssuer
41780OtherCAHMDR

Other names 1

  • Nadonah Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

5021 W Avenue M
Quartz Hill, CA 93536
Phone (661) 718-3870

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1407051618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 COLUMBIA WAY",
            "city": "QUARTZ HILL",
            "state": "CA",
            "postal_code": "935363010",
            "telephone_number": "661-718-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 COLUMBIA WAY",
            "city": "QUARTZ HILL",
            "state": "CA",
            "postal_code": "935363010",
            "telephone_number": "661-718-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD N IWUAGWU",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "IWUAGWU",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "NNAMDI",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "661-718-3870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "47180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "41780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nadonah Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quartz Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.