Individual provider Active NPI

Folake Olawunmi Bamiro

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1922017268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44854 Issued in CA
Practice address
5208 W Pico Blvd Ste 3
Suite#3
Los Angeles, CA 90019-4054
Phone
(323) 964-9908
Fax
(323) 964-9915
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 44854 CA Primary

Addresses

Primary practice location

5208 W Pico Blvd Ste 3
Suite#3
Los Angeles, CA 90019-4054

Mailing address

5208 W Pico Blvd Ste 3
Suite#3
Los Angeles, CA 90019-4054
Phone (323) 964-9908

Other names 1

  • Folake Bamiro Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44854CAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Alive Medical and Transportation Inc. Current Accepting new patients
Lively Staffing&Homecareagency Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922017268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 W PICO BLVD STE 3",
            "address_2": "SUITE#3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194054",
            "telephone_number": "323-964-9908",
            "fax_number": "323-964-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 W PICO BLVD STE 3",
            "address_2": "SUITE#3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194054",
            "telephone_number": "323-964-9908",
            "fax_number": "323-964-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMIRO",
        "first_name": "FOLAKE",
        "middle_name": "OLAWUNMI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FOLAKE",
            "last_name": "BAMIRO",
            "credential": "L.V.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 8, 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.