Active NPI
U. Ete Medical Distributors, Inc
- Durable Medical Equipment & Medical Supplies
- Carson, CA
National Provider Identifier
1962485763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 332B00000X
- Legal business name
- U. ETE MEDICAL DISTRIBUTORS, INC
- Practice address
- 460 E Carson Plaza Dr
Suite #119
Carson, CA 90746-3228 - Phone
- (310) 523-9038
- Fax
- (310) 523-5814
- NPI assigned
- Nov 25, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uben O Rush
- Title
- Ceo
- Phone
- (310) 523-9038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 332B00000X | CA | Primary |
Addresses
Primary practice location
460 E Carson Plaza Dr
Suite #119
Carson, CA 90746-3228
Mailing address
PO Box 2343
Gardena, CA 90247-0343
Phone (310) 523-9038
National Provider Directory
National Provider DirectoryLocations
460 E Carson Plaza Dr
Ste 119
Carson, CA 90746
Phone (310) 523-9038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1962485763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2343",
"city": "GARDENA",
"state": "CA",
"postal_code": "902470343",
"telephone_number": "310-523-9038",
"fax_number": "310-523-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 E CARSON PLAZA DR",
"address_2": "SUITE #119",
"city": "CARSON",
"state": "CA",
"postal_code": "907463228",
"telephone_number": "310-523-9038",
"fax_number": "310-523-5814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U. ETE MEDICAL DISTRIBUTORS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-25",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "RUSH",
"authorized_official_first_name": "UBEN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-523-9038"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "332B00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.