Essential Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103582 Issued in CA

Legal business name

ESSENTIAL MEDICAL SUPPLIES

Practice address

12852 Hawthorne Blvd
Hawthorne, CA 90250-4407

Phone

(310) 679-5025

Fax

(310) 679-5095

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Bennie Obiageli Nibo

Title

President

Phone

(310) 679-5025

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1548287394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12852 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504407",
            "telephone_number": "310-679-5025",
            "fax_number": "310-679-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12852 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504407",
            "telephone_number": "310-679-5025",
            "fax_number": "310-679-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "NIBO",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_middle_name": "OBIAGELI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-679-5025"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03343F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyice Rhnee Elster
• Marcel Emerson, PPS
• Celen Onyebuchi Emeruwa-Burt, LMFT
• Ashley Nicole Engelbert, PT, DPT
• Yvonne Ruth English, RNP
• Deborah Essex
• Cynthia Estrada, OTD, OTR/L
• Hayward Lynn Eubanks, M.D.
• Eyvazi Dental Corp.
• Gozie Tony Ezemonye

• Durable Medical Equipment & Medical Supplies in Hawthorne, CA
• Providers in Hawthorne, 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 Jan 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.