Organization Active NPI

Hope Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Riverside, CA
National Provider Identifier
1407944952
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44536 Issued in CA
Legal business name
HOPE MEDICAL SUPPLY
Practice address
1410 3Rd St Ste 11
Riverside, CA 92507-3422
Phone
(951) 680-9141
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Mr. Yinka O Adefowora
Title
President
Phone
(951) 680-9141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 44536 CA Primary

Addresses

Primary practice location

1410 3Rd St Ste 11
Riverside, CA 92507-3422

Mailing address

1410 3Rd St Ste 11
Riverside, CA 92507-3422
Phone (951) 680-9141

Other identifiers 2

IdentifierTypeStateIssuer
44536OtherCADEPT OF HEALTH SERVICES
DME03290FMedicaidCA

National Provider Directory

National Provider Directory

Locations

1410 3rd St
Ste 11
Riverside, CA 92507
Phone (951) 680-9141

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1407944952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 3RD ST STE 11",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073422",
            "telephone_number": "951-680-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 3RD ST STE 11",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073422",
            "telephone_number": "951-680-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "ADEFOWORA",
        "authorized_official_first_name": "YINKA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-680-9141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH SERVICES",
            "identifier": "44536",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03290F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.