Organization Active NPI

Holy Cross Medical Equipment Supplies

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1689632481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOLY CROSS MEDICAL EQUIPMENT SUPPLIES
Practice address
4754 W Washington Blvd
Los Angeles, CA 90016-1526
Phone
(323) 933-6888
Fax
(323) 933-0054
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sunday A Nyenke
Title
Manager
Phone
(323) 933-6888

Specialties & licenses 1

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

Addresses

Primary practice location

4754 W Washington Blvd
Los Angeles, CA 90016-1526

Mailing address

4754 W Washington Blvd
Los Angeles, CA 90016-1526
Phone (323) 933-6888

National Provider Directory

National Provider Directory

Locations

4754 W Washington Blvd
Los Angeles, CA 90016
Phone (323) 933-6888

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689632481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161526",
            "telephone_number": "323-933-6888",
            "fax_number": "323-933-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161526",
            "telephone_number": "323-933-6888",
            "fax_number": "323-933-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS MEDICAL EQUIPMENT SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NYENKE",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-933-6888"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.