Active NPI
Pascon
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1790794287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 102214
- Legal business name
- PASCON
- Practice address
- 5700 Crenshaw Blvd
Los Angeles, CA 90043-2410 - Phone
- (323) 295-9009
- Fax
- (323) 295-9007
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Iruke
- Title
- C.E.O/President
- Phone
- (323) 295-9009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 102214 | CA | Primary |
Addresses
Primary practice location
5700 Crenshaw Blvd
Los Angeles, CA 90043-2410
Mailing address
5700 Crenshaw Blvd
Los Angeles, CA 90043-2410
Phone (323) 295-9009
Other names 1
- PASCON MEDICAL SUPPLY
National Provider Directory
National Provider DirectoryLocations
5700 Crenshaw Blvd
Los Angeles, CA 90043
Phone (323) 295-9009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1790794287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432410",
"telephone_number": "323-295-9009",
"fax_number": "323-295-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432410",
"telephone_number": "323-295-9009",
"fax_number": "323-295-9007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASCON",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "IRUKE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "C.E.O/PRESIDENT",
"authorized_official_telephone_number": "323-295-9009"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "102214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PASCON MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 6, 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.