PITAL MEDICAL SUPPLIES, LLC (NPI# 1487725016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487725016 |
| Entity Type | Organization |
| Organization Name | PITAL MEDICAL SUPPLIES, LLC |
| Practice Address |
333 S Grand Ave Ste 3310 Los Angeles CA 90071-1538 |
| Practice Telephone | 8669044171 |
| Practice Fax Number | 8667243130 |
| Mailing Telephone | 8669044171 |
| Mailing Fax Number | 8667243130 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | ROLANDA TERICA GASKIN (CEO) |
| Authorized Official Telephone | 8669044171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EIN | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5745 Wendy Bagwell Pkwy, Suite 29, Hiram, GA 301412805 | 8669044171 | 8667243130 |
| Street Address |
333 S GRAND AVE STE 3310 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90071-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164917282 | Bamboo Nutrition Therapy, Inc. | Dietitian, Registered | 633 W 5th St Ste 2600, Los Angeles, CA 90071 | 2018-06-30 |
| 1629295639 | Naomi Blum | Social Worker | 601 W. 5th St., #310, Los Angeles, CA 90071 | 2007-04-19 |
| 1003989476 | Lynn A Slade | Social Worker | 601 West Fifth Street, 310, Los Angeles, CA 90071 | 2006-11-15 |
| 1184706681 | Christopher Bartlett Franklin | Psychologist | 520 S Grand Ave Ste 680, Los Angeles, CA 90071 | 2006-10-20 |
| 1215934971 | Craig David Gordon | Internal Medicine | 333 South Hope Street, Floor 31, Capital Group, La, CA 90071 | 2005-07-07 |
| 1760734883 | James C Feng | Dentist | 350 S Figueroa St, Suite 551, Los Angeles, CA 90071-1102 | 2012-10-12 |
| 1023671815 | Debra Duran | Registered Nurse | 350 S Figueroa St Ste 990, Los Angeles, CA 90071-1308 | 2019-04-17 |
| 1134601784 | Adriana Fernandez | Social Worker | 355 S Grand Ave, Los Angeles, CA 90071-1560 | 2018-08-30 |
| 1457813859 | Mark Tinley | Marriage & Family Therapist | 445 S Figueroa St # 3128, Los Angeles, CA 90071-1602 | 2019-04-03 |
| 1821566639 | Iconic Care Inc | Durable Medical Equipment & Medical Supplies | 445 S Figueroa St Fl 31, Los Angeles, CA 90071-1602 | 2018-11-09 |
| Find all providers in zip 90071 | ||||
| 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 |
|---|---|---|---|---|
| 1700484219 | Oa Medicals LLC | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave Ste 203, Los Angeles, CA 90047-3057 | 2020-10-16 |
| 1598376790 | Supercare Depot Inc | Durable Medical Equipment & Medical Supplies | 11901 Santa Monica Blvd Ste 470, Los Angeles, CA 90025-2767 | 2020-08-11 |
| 1568089548 | Dmg Wellness Inc. | Durable Medical Equipment & Medical Supplies | 2651 Nevin Ave, Los Angeles, CA 90011-2242 | 2020-06-25 |
| 1467073098 | Revive Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 232 E 2nd St Apt 752, Los Angeles, CA 90012-4539 | 2020-05-05 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1386276400 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 8900 S Sepulveda Blvd, Los Angeles, CA 90045-3604 | 2020-02-06 |
| 1366074676 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 415 S La Brea Ave, Los Angeles, CA 90036-3523 | 2020-02-05 |
| 1689214744 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 555 N Broadway # B101, Los Angeles, CA 90012-4700 | 2020-01-07 |
| 1548816291 | Cath Dry, Inc. | Durable Medical Equipment & Medical Supplies | 1243 N Hoover St, Los Angeles, CA 90029-2009 | 2019-08-16 |
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90071 |
Please comment or provide details below to improve the information on PITAL MEDICAL SUPPLIES, LLC.
| 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.