Organization Active NPI

Savannah Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Upland, CA
National Provider Identifier
1679645113
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100881 Issued in CA
Legal business name
SAVANNAH MEDICAL SUPPLY
Practice address
484 E Foothill Blvd
Suite 101
Upland, CA 91786-3953
Phone
(909) 981-8894
Fax
(909) 981-8895
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Obumneme Alilionwu
Title
Director Ceo
Phone
(909) 981-8894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100881 CA Primary

Addresses

Primary practice location

484 E Foothill Blvd
Suite 101
Upland, CA 91786-3953

Mailing address

484 E Foothill Blvd
Suite 101
Upland, CA 91786-3953
Phone (909) 981-8894

National Provider Directory

National Provider Directory

Locations

484 E Foothill Blvd
Ste 101
Upland, CA 91786
Phone (909) 920-5680

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1679645113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 E FOOTHILL BLVD",
            "address_2": "SUITE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863953",
            "telephone_number": "909-981-8894",
            "fax_number": "909-981-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 E FOOTHILL BLVD",
            "address_2": "SUITE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863953",
            "telephone_number": "909-981-8894",
            "fax_number": "909-981-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "ALILIONWU",
        "authorized_official_first_name": "OBUMNEME",
        "authorized_official_title_or_position": "DIRECTOR CEO",
        "authorized_official_telephone_number": "909-981-8894"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.