Individual provider Active NPI

Fidelis Nnamdi-Obinma

  • Durable Medical Equipment & Medical Supplies
  • Inglewood, CA
National Provider Identifier
1598036824
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
48876 Issued in CA
Practice address
1101 N la Brea Ave
Suite a
Inglewood, CA 90302-1212
Phone
(310) 419-1204
Fax
(310) 419-1216
NPI assigned
Jan 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 48876 CA Primary

Addresses

Primary practice location

1101 N la Brea Ave
Suite a
Inglewood, CA 90302-1212

Mailing address

1101 N la Brea Ave
Suite a
Inglewood, CA 90302-1212
Phone (310) 419-1204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48876CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Twins Medical Supply LLC Durable Medical Equipment & Medical Supplies Current Accepting new patients

Locations

1101 N La Brea Ave
Ste A
Inglewood, CA 90302
Phone (310) 419-1204

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1598036824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N LA BREA AVE",
            "address_2": "SUITE A",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021212",
            "telephone_number": "310-419-1204",
            "fax_number": "310-419-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N LA BREA AVE",
            "address_2": "SUITE A",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021212",
            "telephone_number": "310-419-1204",
            "fax_number": "310-419-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAMDI-OBINMA",
        "first_name": "FIDELIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "48876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.