Omega Internation Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4999360001 Issued in CA

Legal business name

OMEGA INTERNATION MEDICAL SUPPLY

Practice address

16756 Foothill Blvd
Fontana, CA 92335-8405

Phone

(909) 350-9700

Fax

(909) 350-7340

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Ibitoru Oketola, DMENPI 1356368799

Title

Owner

Phone

(909) 350-9700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Ibitoru Oketola, DME PROVIDER

  • Durable Medical Equipment & Medical Supplies
  • Fontana, CA
  • NPI 1356368799
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1447369533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16756 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358405",
            "telephone_number": "909-350-9700",
            "fax_number": "909-350-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16756 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358405",
            "telephone_number": "909-350-9700",
            "fax_number": "909-350-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA INTERNATION MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "OKETOLA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "IBITORU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-350-9700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "4999360001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessing Chinyere Okwara, RN
• Jude E Okwor
• Juan Manuel Oliva, MD
• Paula Teresa Olivares, PHARMD
• Brenda L. Oliver
• Onc Transportation
• Michelle Latoya Oneil, D.O
• Jane C. Ong, MD
• Meng-Khiang Gabriel Ong
• Meng-Yung Michael Ong, MD

• Durable Medical Equipment & Medical Supplies in Fontana, CA
• Providers in Fontana, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.