Organization Active NPI

Advanced Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Inglewood, CA
National Provider Identifier
1982813549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED MEDICAL SUPPLY
Practice address
4233 W Century Blvd
Ste 12
Inglewood, CA 90304-1603
Phone
(310) 680-7603
Fax
(310) 680-7603
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Y Molina
Title
Officer
Phone
(310) 680-7603

Specialties & licenses 1

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

Addresses

Primary practice location

4233 W Century Blvd
Ste 12
Inglewood, CA 90304-1603

Mailing address

4233 W Century Blvd
Ste 12
Inglewood, CA 90304-1603
Phone (310) 680-7603

National Provider Directory

National Provider Directory

Locations

4233 W Century Blvd
Ste 12
Inglewood, CA 90304
Phone (310) 680-7603

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982813549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 W CENTURY BLVD",
            "address_2": "STE 12",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903041603",
            "telephone_number": "310-680-7603",
            "fax_number": "310-680-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 W CENTURY BLVD",
            "address_2": "STE 12",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903041603",
            "telephone_number": "310-680-7603",
            "fax_number": "310-680-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "310-680-7603"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.