Blue Medical DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLUE MEDICAL DME

Practice address

10970 Arrow Rte Ste 206
Rancho Cucamonga, CA 91730-4839

Phone

(909) 446-2329

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Afolarin Ayetiwa

Title

Ceo

Phone

(909) 446-2329

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1831975515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10970 ARROW RTE STE 206",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 ARROW RTE STE 206",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304839",
            "telephone_number": "909-446-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MEDICAL DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "AYETIWA",
        "authorized_official_first_name": "AFOLARIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-446-2329"
    },
    "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 Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Sep 7, 2023; 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.