Organization Active NPI

A-1 Medical Supplies Corporation

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1730105131
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
A-1 MEDICAL SUPPLIES CORPORATION
Practice address
14512 Crenshaw Blvd
Gardena, CA 90249-3145
Phone
(310) 324-6274
NPI assigned
Jul 15, 2006
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Peter Kadana
Title
Owner/Ceo
Phone
(310) 324-6274

Specialties & licenses 1

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

Addresses

Primary practice location

14512 Crenshaw Blvd
Gardena, CA 90249-3145

Mailing address

14512 Crenshaw Blvd
Gardena, CA 90249-3145
Phone (310) 324-6274

Other identifiers 1

IdentifierTypeStateIssuer
45659OtherCAHMDR LICENCE NUMBER

National Provider Directory

National Provider Directory

Locations

14512 Crenshaw Blvd
Gardena, CA 90249
Phone (310) 324-6274

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1730105131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14512 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493145",
            "telephone_number": "310-324-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14512 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493145",
            "telephone_number": "310-324-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 MEDICAL SUPPLIES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "KADANA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-324-6274"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR LICENCE NUMBER",
            "identifier": "45659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.