Organization Active NPI

St. John'S DME Inc.

  • Durable Medical Equipment & Medical Supplies
  • Inglewood, CA
National Provider Identifier
1710164595
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103708 Issued in CA
Legal business name
ST. JOHN'S DME INC.
Practice address
305 E Hillcrest Blvd
Inglewood, CA 90301-2405
Phone
(310) 672-6657
Fax
(310) 671-2870
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Mr. John Bassey Ikpeme
Title
Ceo
Phone
(310) 672-6657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103708 CA Primary

Addresses

Primary practice location

305 E Hillcrest Blvd
Inglewood, CA 90301-2405

Mailing address

305 E Hillcrest Blvd
Inglewood, CA 90301-2405
Phone (310) 672-6657

National Provider Directory

National Provider Directory

Locations

305 E Hillcrest Blvd
Inglewood, CA 90301
Phone (310) 672-6657

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1710164595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E HILLCREST BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012405",
            "telephone_number": "310-672-6657",
            "fax_number": "310-671-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E HILLCREST BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012405",
            "telephone_number": "310-672-6657",
            "fax_number": "310-671-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S DME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "IKPEME",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BASSEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-672-6657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.