Organization Active NPI

Chuma Nwako

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1497701080
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
45425 Issued in CA
Legal business name
CHUMA NWAKO
Practice address
15238 Crenshaw Blvd
Gardena, CA 90249-4049
Phone
(310) 630-1600
Fax
(310) 630-1661
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mr. Chuma Nwako
Title
Owner
Phone
(310) 630-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 45425 CA Primary

Addresses

Primary practice location

15238 Crenshaw Blvd
Gardena, CA 90249-4049

Mailing address

PO Box 88121
Los Angeles, CA 90009-8121
Phone (310) 630-1600

Other names 1

  • Pacifica Medical Supplies 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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1497701080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88121",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900098121",
            "telephone_number": "310-630-1600",
            "fax_number": "310-630-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15238 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494049",
            "telephone_number": "310-630-1600",
            "fax_number": "310-630-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUMA NWAKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "NWAKO",
        "authorized_official_first_name": "CHUMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-630-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacifica Medical Supplies",
            "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 Oct 14, 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.