NPIMap

Organization Active NPI

Enteral Products, LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Santa Fe Springs, CA
National Provider Identifier
1982891743
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
47578 Issued in CA
Legal business name
ENTERAL PRODUCTS, LLC
Practice address
11333 Greenstone Ave
A
Santa Fe Springs, CA 90670-4618
Phone
(562) 447-2550
Fax
(562) 968-5315
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Yisroel Rechnitz
Title
General Manager
Phone
(562) 447-2550

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1166 AL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X W002244 AZ
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X MG01187 AR
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X CSW.0002888 CT
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X DME18253 ID
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 203001226 IL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 69000639A IN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 16-00392 KS
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X HME00304 KY
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X DME.000248 LA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X R3457 MD
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 5306003903 MI
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X F09620 MS
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHA-WDD-LIC-1796 MT
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 47578 CA Primary

Addresses

Primary practice location

11333 Greenstone Ave
A
Santa Fe Springs, CA 90670-4618

Mailing address

11333 Greenstone Ave
A
Santa Fe Springs, CA 90670-4618
Phone (562) 447-2550

Other identifiers 9

IdentifierTypeStateIssuer
535153MedicaidAZ
1982891743MedicaidNV
2117548MedicaidLA
1982891743MedicaidAL
3095921MedicaidOH
1982891743MedicaidMT
1982891743 01MedicaidCA
1982891743MedicaidWA
1982891743MedicaidUT

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11333 Greenstone Ave
#A
Santa Fe Springs, CA 90670
Phone (562) 447-2550

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1982891743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 GREENSTONE AVE",
            "address_2": "A",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704618",
            "telephone_number": "562-447-2550",
            "fax_number": "562-968-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 GREENSTONE AVE",
            "address_2": "A",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704618",
            "telephone_number": "562-447-2550",
            "fax_number": "562-968-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERAL PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "RECHNITZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "562-447-2550"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AL",
            "license": "1166",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AZ",
            "license": "W002244",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AR",
            "license": "MG01187",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CT",
            "license": "CSW.0002888",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "ID",
            "license": "DME18253",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "203001226",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IN",
            "license": "69000639A",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KS",
            "license": "16-00392",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "HME00304",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": "DME.000248",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MD",
            "license": "R3457",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MI",
            "license": "5306003903",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "F09620",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MT",
            "license": "PHA-WDD-LIC-1796",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "47578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "535153",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982891743",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117548",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982891743",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095921",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982891743",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982891743 01",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982891743",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982891743",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.