Semajo Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

50452 Issued in CA

Legal business name

SEMAJO MEDICAL SUPPLY, INC.

Practice address

248 E Highland Ave
Suite 9
San Bernardino, CA 92404-3703

Phone

(909) 881-7765

Fax

(909) 881-7767

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mosunmola A Ayoola

Title

Ceo

Phone

(909) 881-7765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1689819443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 E HIGHLAND AVE",
            "address_2": "SUITE 9",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043703",
            "telephone_number": "909-881-7765",
            "fax_number": "909-881-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E HIGHLAND AVE",
            "address_2": "SUITE 9",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043703",
            "telephone_number": "909-881-7765",
            "fax_number": "909-881-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMAJO MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "AYOOLA",
        "authorized_official_first_name": "MOSUNMOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-881-7765",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "50452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in San Bernardino, CA
• Providers in San Bernardino, 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 Apr 23, 2010; 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.