Organization Active NPI

Magnet Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1417028572
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
46164 Issued in CA
Legal business name
MAGNET MEDICAL SUPPLY INC.
Practice address
14618 Crenshaw Blvd
Gardena, CA 90249-3147
Phone
(310) 736-7565
Fax
(310) 217-1463
NPI assigned
Nov 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Nwanneka Uche Azubuike, MBA
Title
President
Phone
(310) 217-1484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 46164 CA Primary

Addresses

Primary practice location

14618 Crenshaw Blvd
Gardena, CA 90249-3147

Mailing address

14618 Crenshaw Blvd
Gardena, CA 90249-3147
Phone (310) 736-7565

Other identifiers 1

IdentifierTypeStateIssuer
46164OtherCASUPPLIER OF DME

National Provider Directory

National Provider Directory

Locations

14618 Crenshaw Blvd
Gardena, CA 90249
Phone (310) 736-7565

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417028572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493147",
            "telephone_number": "310-736-7565",
            "fax_number": "310-217-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14618 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493147",
            "telephone_number": "310-736-7565",
            "fax_number": "310-217-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNET MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZUBUIKE",
        "authorized_official_first_name": "NWANNEKA",
        "authorized_official_middle_name": "UCHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-217-1484",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER OF DME",
            "identifier": "46164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.