Organization Active NPI

Bolkiki Medical Supplies and Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1629032578
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103578 Issued in CA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.