Aaa Medical Supply Services Ctr, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AAA MEDICAL SUPPLY SERVICES CTR, INC

Practice address

24281 Postal Ave
Suite 211
Moreno Valley, CA 92553-3093

Phone

(951) 488-9111

Fax

(480) 445-9790

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Lateisha McDonald

Title

President

Phone

(951) 488-9111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadine Blackburn

  • Durable Medical Equipment & Medical Supplies
  • Moreno Valley, CA
  • NPI 1750398335
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1760626899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24281 POSTAL AVE",
            "address_2": "SUITE 211",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533093",
            "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": "SUITE 211",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533093",
            "telephone_number": "951-488-9111",
            "fax_number": "480-445-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA MEDICAL SUPPLY SERVICES CTR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LATEISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-488-9111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 23, 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.