WESTERN IMPERIAL MEDICAL DISTRIBUTORS (NPI# 1639106685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639106685 |
Entity Type | Organization |
Organization Name | WESTERN IMPERIAL MEDICAL DISTRIBUTORS |
Practice Address |
2930 W Imperial Hwy Suite 200q Inglewood CA 90303-3143 |
Mailing Address |
2930 West Imperial Hwy Suite 200q Inglewood CA 90303 |
Practice Telephone | 3237550148 |
Practice Fax Number | 3237555555 |
Mailing Telephone | 3237550148 |
Mailing Fax Number | 3237555555 |
Enumeration Date | 2006-06-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. YAKUBU DAMAKO (OWNER) |
Authorized Official Telephone | 3237550148 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 4270040001 | CA | Suppliers |
Street Address |
2930 W IMPERIAL HWY SUITE 200Q |
City | INGLEWOOD |
State | CA |
Zip Code | 90303-3143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427521848 | Lourdez M Zambrano | Case Manager/Care Coordinator | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2019-01-08 |
1356686935 | Charmaine M Holland | Preferred Provider Organization | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2012-12-07 |
1073873915 | Fountain Hope and Health for Youth | Community/Behavioral Health | 2930 W Imperial Hwy, 510, Inglewood, CA 90303-3143 | 2012-05-25 |
1265798094 | Nathaniel Pumphrey | Counselor | 2930 W Imperial Hwy, 511, Inglewood, CA 90303-3143 | 2012-04-05 |
1427314681 | Wilbur Winston Williams | Counselor | 2930 W Imperial Hwy, 511, Inglewood, CA 90303-3143 | 2012-04-02 |
1659645927 | Mercedes Samudio | Counselor | 2930 W Imperial Hwy, Suite 310, Inglewood, CA 90303-3143 | 2012-03-02 |
1487930970 | Fiona Okereke | Registered Nurse | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-10-27 |
1972888386 | Danielle Joaquin Redmond | Counselor | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-10-17 |
1952680340 | Erik Giovanni Alvarado | Counselor | 2930 W Imperial Hwy, Suite 200m, Inglewood, CA 90303-3143 | 2011-08-16 |
1023308053 | Peter Singleton | Counselor | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-04-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972085983 | Jennese Bacon | Specialist/Technologist | 10932 Casimir Ave, Inglewood, CA 90303 | 2018-09-06 |
1174032965 | Billy Campbell | Respiratory Therapist, Registered | 11800 Lemoli Ave, Inglewood, CA 90303 | 2017-09-25 |
1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
1427336221 | Aaa Dentistry Center | Dentist | 2646 West Imperial Hwy, Inglewood, CA 90303 | 2011-07-27 |
1275845232 | Leah Aguirre Montoya | Registered Nurse | 3451 W. Century Blvd., Suite #b-1, Inglewood, CA 90303 | 2010-07-07 |
1609008945 | Olawumi Rotimi | Counselor | 3211 West Imperila Hiighway, 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
1568694289 | Philip Michael Bockarie | Counselor | 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-13 |
1942407960 | Los Angeles Drug Treatment Center | Counselor | 3211 West Imperial Hwy, Same As Mailing Address, Inglewood, CA 90303 | 2007-07-02 |
1700096369 | Development Specialty Projects, Inc. | Clinic/Center | 3200 West 104 St, Ingelwood, CA 90303 | 2007-05-23 |
Find all providers in zip 90303 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093231300 | Matia Medical, LLC | Durable Medical Equipment & Medical Supplies | 519 W Buckthorn St, Inglewood, CA 90301-3114 | 2017-08-17 |
1114290087 | Lashawn Theresa Chevalier | Durable Medical Equipment & Medical Supplies | 314 E. Hillcrest Bl, Inglewood, CA 90301-2423 | 2012-02-22 |
1528387081 | One Stop Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 115 1/2 E Arbor Vitae St, Inglewood, CA 90301-3839 | 2010-05-24 |
1841524220 | Mgm Mobility Inc. | Durable Medical Equipment & Medical Supplies | 160 E Tamarack Ave, Inglewood, CA 90301-3378 | 2009-10-01 |
1265766083 | Samik Medical Services Inc | Durable Medical Equipment & Medical Supplies | 720 E Manchester Blvd, Inglewood, CA 90301-1912 | 2009-09-25 |
1275867103 | Joerns LLC | Durable Medical Equipment & Medical Supplies | 8715 Aviation Blvd, Inglewood, CA 90301-2003 | 2009-09-24 |
1407189475 | S and J Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1329 N La Brea Ave, Inglewood, CA 90302-1216 | 2009-09-09 |
1326273095 | Fair Care Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 1224 N La Brea Ave, Inglewood, CA 90302-1215 | 2009-05-23 |
1871733782 | Pace Medical Services Inc. | Durable Medical Equipment & Medical Supplies | 3311 W Manchester Blvd, 105, Inglewood, CA 90305-2353 | 2009-03-05 |
1578700316 | Oceanic Medical Concepts Inc. | Durable Medical Equipment & Medical Supplies | 2688 W Imperial Hwy, Inglewood, CA 90303-3137 | 2009-01-15 |
Find all providers in INGLEWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.