Organization Active NPI

Med-West

  • Durable Medical Equipment & Medical Supplies
  • Chino, CA
National Provider Identifier
1932322286
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
46177 Issued in CA
Legal business name
MED-WEST
Practice address
5536 Philadelphia St
Suite H
Chino, CA 91710-7533
Phone
(909) 591-2355
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Ellis Kyles
Title
Owner
Phone
(909) 591-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 46177 CA Primary

Addresses

Primary practice location

5536 Philadelphia St
Suite H
Chino, CA 91710-7533

Mailing address

5536 Philadelphia St
Suite H
Chino, CA 91710-7533

National Provider Directory

National Provider Directory

Locations

5536 Philadelphia St
Ste H
Chino, CA 91710
Phone (909) 591-2355

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1932322286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 PHILADELPHIA ST",
            "address_2": "SUITE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 PHILADELPHIA ST",
            "address_2": "SUITE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107533",
            "telephone_number": "909-591-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "KYLES",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-591-2355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.