Vantage Medical Supply, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

VANTAGE MEDICAL SUPPLY, INC

Practice address

427 N Long Beach Blvd
Compton, CA 90221-2218

Phone

(310) 763-2234

Fax

(310) 763-2058

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fabian Maduabuchi Okwaraji

Title

Director

Phone

(310) 763-2234

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1891745915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902212218",
            "telephone_number": "310-763-2234",
            "fax_number": "310-763-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902212218",
            "telephone_number": "310-763-2234",
            "fax_number": "310-763-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "OKWARAJI",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_middle_name": "MADUABUCHI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-763-2234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "103756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8577638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Valcarcel, MA. LMFT
• Imelda Valencia, BA
• Yaxal Valladares
• Jorge Alberto Vallejo
• Jennifer Lynne Van Loy, M.S.W., L.C.S.W.
• Leslie Vargas
• Jose A Vasconez, R.T.(R)(ARRT)
• Felisa Beatriz Vasquez Gonzalez
• Alejandra Vejar-Barbosa
• Teresa Velarde Page, MFT

• Customized Equipment (DME) in Compton, CA
• Providers in Compton, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.