El Monte Nutritional and Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EL MONTE NUTRITIONAL AND MEDICAL SUPPLIES

Practice address

2002 Durfee Ave
El Monte, CA 91733-3713

Phone

(626) 975-9712

Fax

(626) 442-7810

NPI assigned

Dec 14, 2009

Last updated

Dec 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ishak N.Z. Bishara, M.D.NPI 1467536987

Title

Owner

Phone

(626) 442-5015

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ishak Bishara, M.D.,

  • Family Medicine Physician
  • South El Monte, CA
  • NPI 1467536987
  Authorized official Same address or phone

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1669701090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 DURFEE AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917333713",
            "telephone_number": "626-975-9712",
            "fax_number": "626-442-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 DURFEE AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917333713",
            "telephone_number": "626-975-9712",
            "fax_number": "626-442-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MONTE NUTRITIONAL AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "ISHAK",
        "authorized_official_middle_name": "N.Z.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-442-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Monte Dental Esthetics and Xray Imaging Inc
• El Monte Family Medical Group
• El Monte Healthcare Center, LLC (Penn Mar Healthcare Center)
• El Monte Healthcare Center, LLC (El Monte Healthcare Center)
• El Monte Latino Medical Group Inc. (El Monte Centro Medico Familiar)
• El Monte Optometry Inc
• El Monte SNF, LLC (Valley View Post Acute)
• El Monte Union High School District
• Elegant Acu Inc
• Elegant Acu Inc

• Durable Medical Equipment & Medical Supplies in El Monte, CA
• Providers in El Monte, 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 Dec 14, 2009; 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.