J & J Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

J & J MEDICAL SUPPLY LLC

Practice address

12440 Firestone Blvd Ste 1025
Norwalk, CA 90650-4369

Phone

(562) 406-1028

Fax

(562) 261-5655

NPI assigned

Dec 4, 2020

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor Villafranca Bayan IV

Title

Ceo

Phone

(562) 406-1028

Specialties & licenses 1

Addresses

Other names 1

• J&J Medical Supply LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramon D Riego Jr.

  • Durable Medical Equipment & Medical Supplies
  • Norwalk, CA
  • NPI 1093316192
  NPD

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1922603018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 1025",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 1025",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504369",
            "telephone_number": "562-406-1028",
            "fax_number": "562-261-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "BAYAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "VILLAFRANCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-406-1028",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J&J Medical Supply LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alex Iroha, NP
• John Iwuanyanwu
• Cecilia Izabal
• Azar Eslami Izadian, M.D.
• Ivette Izquierdo
• Karla Jacinto
• Dorothy Helen Jackson, RN
• Jacob Rekem MD Inc
• Allen Jacobson, DDS, MDS
• CJ Jacobson, PSYD

• Durable Medical Equipment & Medical Supplies in Norwalk, CA
• Providers in Norwalk, 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 Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.