Organization Active NPI

Legacy DME

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1790654457
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEGACY DME
Practice address
611 Wilshire Blvd Ste 900-1007
Los Angeles, CA 90017-2928
Phone
(213) 263-1687
NPI assigned
Oct 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
MD Faysal Ahmed
Title
President
Phone
(213) 263-1687

Specialties & licenses 1

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

Addresses

Primary practice location

611 Wilshire Blvd Ste 900-1007
Los Angeles, CA 90017-2928

Mailing address

611 Wilshire Blvd Ste 900-1007
Los Angeles, CA 90017-2928
Phone (213) 263-1687

National Provider Directory

National Provider Directory

Locations

611 Wilshire Blvd
Ste 9001007
Los Angeles, CA 90017
Phone (213) 263-1687

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1790654457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WILSHIRE BLVD STE 900-1007",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172928",
            "telephone_number": "213-263-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSHIRE BLVD STE 900-1007",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172928",
            "telephone_number": "213-263-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MD FAYSAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-263-1687"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.