Active NPI
Elite Medical and Associates
- Durable Medical Equipment & Medical Supplies
- Monrovia, CA
National Provider Identifier
1619513330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ELITE MEDICAL AND ASSOCIATES
- Practice address
- 205 Highland PL
Monrovia, CA 91016-2015 - Phone
- (310) 906-6779
- NPI assigned
- Nov 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Fendel
- Title
- Ceo
- Phone
- (310) 906-6779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
205 Highland PL
Monrovia, CA 91016-2015
Mailing address
205 Highland PL
Monrovia, CA 91016-2015
Phone (310) 906-6779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | WORK COMP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | avhs17@hotmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574121600000",
"number": "1619513330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HIGHLAND PL",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162015",
"telephone_number": "310-906-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HIGHLAND PL",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162015",
"telephone_number": "310-906-6779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE MEDICAL AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A",
"authorized_official_last_name": "FENDEL",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-906-6779"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "0000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "avhs17@hotmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "205 Highland Pl",
"city": "Monrovia",
"state": "CA",
"country_code": "US",
"postal_code": "910162015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.