NPIMap

Organization Active NPI

Bloom Medical Equipment & Supply

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1912170705
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
49704 Issued in CA
Legal business name
BLOOM MEDICAL EQUIPMENT & SUPPLY
Practice address
14909 Crenshaw Blvd Ste 109
Gardena, CA 90249-3663
Phone
(310) 978-1255
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Oluwadamilare Ohonme
Title
Owner/Ceo
Phone
(310) 978-1255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 49704 CA Primary

Addresses

Primary practice location

14909 Crenshaw Blvd Ste 109
Gardena, CA 90249-3663

Mailing address

14909 Crenshaw Blvd Ste 109
Gardena, CA 90249-3663
Phone (310) 978-1255

National Provider Directory

National Provider Directory

Locations

14909 Crenshaw Blvd
Ste 109
Gardena, CA 90249
Phone (310) 978-1255

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1912170705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14909 CRENSHAW BLVD STE 109",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493663",
            "telephone_number": "310-978-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14909 CRENSHAW BLVD STE 109",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493663",
            "telephone_number": "310-978-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MEDICAL EQUIPMENT & SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "OHONME",
        "authorized_official_first_name": "OLUWADAMILARE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-978-1255"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "49704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.