Organization Active NPI

Gertrude Ihenachor

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1407945504
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
51946 Issued in CA
Legal business name
GERTRUDE IHENACHOR
Practice address
825 W Gardena Blvd
Gardena, CA 90247-3030
Phone
(310) 327-6977
Fax
(310) 327-6980
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Gertrude Uloma Ihenachor
Title
Owner
Phone
(310) 327-6977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 51946 CA Primary

Addresses

Primary practice location

825 W Gardena Blvd
Gardena, CA 90247-3030

Mailing address

14612 S Catalina Ave
Gardena, CA 90247-3030
Phone (310) 327-6977

Other names 1

  • Gerthill Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1407945504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14612 S CATALINA AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473030",
            "telephone_number": "310-327-6977",
            "fax_number": "310-327-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473030",
            "telephone_number": "310-327-6977",
            "fax_number": "310-327-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERTRUDE IHENACHOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "IHENACHOR",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_middle_name": "ULOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-327-6977"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "51946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerthill Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.