Active NPI
Bolkiki Medical Supplies and Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- Fresno, CA
National Provider Identifier
1629032578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 103578
- Legal business name
- BOLKIKI MEDICAL SUPPLIES AND EQUIPMENT, INC.
- Practice address
- 2690 N Marks Ave
Suite 108
Fresno, CA 93722-5286 - Phone
- (559) 274-0427
- Fax
- (559) 274-9206
- NPI assigned
- Apr 15, 2006
- Last updated
- Apr 1, 2011
- 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
- Mr. Peter Olatokunbo Olorunfunmi
- Title
- Director of Operations
- Phone
- (559) 274-0427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 103578 | CA | Primary |
Addresses
Primary practice location
2690 N Marks Ave
Suite 108
Fresno, CA 93722-5286
Mailing address
2690 N Marks Ave
Suite 108
Fresno, CA 93722-5286
Phone (559) 274-0427
National Provider Directory
National Provider DirectoryLocations
2690 N Marks Ave
Ste 108
Fresno, CA 93722
Phone (559) 274-0427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301616000000",
"number": "1629032578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 N MARKS AVE",
"address_2": "SUITE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937225286",
"telephone_number": "559-274-0427",
"fax_number": "559-274-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 N MARKS AVE",
"address_2": "SUITE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937225286",
"telephone_number": "559-274-0427",
"fax_number": "559-274-9206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOLKIKI MEDICAL SUPPLIES AND EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-15",
"last_updated": "2011-04-01",
"status": "A",
"authorized_official_last_name": "OLORUNFUNMI",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "OLATOKUNBO",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "559-274-0427",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "103578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.