Nadine Blackburn

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

15582 Issued in CA

Practice address

24281 Postal Ave
211
Moreno Valley, CA 92553-3093

Phone

(951) 488-9111

Fax

(480) 773-8616

NPI assigned

Aug 3, 2006

Last updated

Apr 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aaa Medical Supply Service Ctr Inc Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaa Medical Supply Services Ctr, Inc

  • Durable Medical Equipment & Medical Supplies
  • Moreno Valley, CA
  • NPI 1760626899
  NPD (past)
• A Fox Business Associate Inc

  dba Alma's

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Chandler, AZ
  • NPI 1184631822
  NPD (past)
• Assisted Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1447449384
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1750398335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925561013",
            "telephone_number": "951-488-9111",
            "fax_number": "480-445-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24281 POSTAL AVE",
            "address_2": "211",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533093",
            "telephone_number": "951-488-9111",
            "fax_number": "480-773-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "NADINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "15582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "330620945",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AAA MEDICAL SUPPLY",
            "last_name": "SERVICE CTR INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Ceron Bishop, M.S. CCC-SLP
• Denesha Bivens
• Black Unicorn Wellness Solutions
• Louise Black-Robinson
• Natalie Black, RD/RDN
• Lisa Suzanne Blackley, MD
• Kerrie Blades, DPT
• Mallory Orlando Blake, R.PH.
• Melyssa Blankenship
• Blas Homes, LLC

• Durable Medical Equipment & Medical Supplies in Moreno Valley, CA
• Providers in Moreno Valley, 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 20, 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.