Ivy Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103722 Issued in CA

Legal business name

IVY MEDICAL SUPPLY

Practice address

1304 S Magnolia Ave
Anaheim, CA 92804-5118

Phone

(714) 484-9446

Fax

(714) 748-4157

NPI assigned

Nov 6, 2007

Organization subpart

Yes

Parent organization

IVY MEDICAL SUPPLYAs reported in NPPES

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

Authorized official

Name

Mr. Emmanuel Chinwe ChiduemeNPI 1841310125

Title

Owner

Phone

(714) 484-9446

Specialties & licenses 1

Addresses

Part of

Ivy Medical Supply

Locations

Practitioners 1

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

• Emmanuel Chinwe Chidueme

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
  • NPI 1841310125
  NPD (past) Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1821278995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 S MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045118",
            "telephone_number": "714-484-9446",
            "fax_number": "714-748-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 S MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045118",
            "telephone_number": "714-484-9446",
            "fax_number": "714-748-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IVY  MEDICAL  SUPPLY",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "CHIDUEME",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "CHINWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-484-9446",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeline Yatar Ituriaga, M.D.
• IV for Life
• Ivan P. Martinez, M.D. Inc.
• Earl Ivery
• Diana Ivory, LMFT
• Pheobe Suzanne Elan Ivy
• Usha P Iyer, MD
• Nancy Izaguirre
• J. Moucharrafie, MD, Inc.
• J. Yoo M.D., PC

• Durable Medical Equipment & Medical Supplies in Anaheim, CA
• Providers in Anaheim, 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 Nov 6, 2007; 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.