BOLADEMI ADETOLA (NPI# 1598938995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598938995 |
| Entity Type | Individual |
| Full Name | BOLADEMI ADETOLA |
| Credential | RN |
| Practice Address |
14612 Crenshaw Blvd Gardena CA 90249-3147 |
| Practice Telephone | 3105389280 |
| Practice Fax Number | 3105389257 |
| Mailing Telephone | 3105389280 |
| Mailing Fax Number | 3105389257 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 103127 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HMDR | 103127 | 01 |
| Street Address |
14612 CRENSHAW BLVD |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982848925 | Latay Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 14612 Crenshaw Blvd, Gardena, CA 90249-3147 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| 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 |
|---|---|---|---|---|
| 1932496163 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1399 W Artesia Blvd, Gardena, CA 90248-3363 | 2011-07-08 |
| 1306150354 | Blessing Medical Supply | Durable Medical Equipment & Medical Supplies | 17901 S Vermont Ave, Suite D, Gardena, CA 90248-3402 | 2010-08-02 |
| 1396973871 | A.k. Direct Medical Supplies | Durable Medical Equipment & Medical Supplies | 14121 S Western Ave, Gardena, CA 90249-3009 | 2009-06-23 |
| 1245471366 | Western Medical Supply Services Inc. | Durable Medical Equipment & Medical Supplies | 14803 S Western Ave, Gardena, CA 90249-3309 | 2009-03-19 |
| 1831362623 | Vapor Medical Distributors Inc. | Durable Medical Equipment & Medical Supplies | 2411 Marine Ave, Gardena, CA 90249-3726 | 2008-04-11 |
| 1912170705 | Bloom Medical Equipment & Supply | Durable Medical Equipment & Medical Supplies | 14909 Crenshaw Blvd Ste 109, Gardena, CA 90249-3663 | 2008-04-11 |
| 1487838231 | Rexam Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 15225 S Western Ave, Suite 101, Gardena, CA 90249-4327 | 2007-12-27 |
| 1942480751 | Stealth Medical Soultions Inc. | Durable Medical Equipment & Medical Supplies | 1908 W Redondo Beach Blvd, Gardena, CA 90247-3624 | 2007-11-08 |
| 1821208943 | Bernard S Gibeson | Durable Medical Equipment & Medical Supplies | 1900 W Redondo Beach Blvd, Gardena, CA 90247-3624 | 2007-05-23 |
| 1144356072 | Emxx Medical Supplies | Durable Medical Equipment & Medical Supplies | 13904 Crenshaw Blvd, Gardena, CA 90249-2714 | 2007-02-26 |
| Find all providers in GARDENA | ||||
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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.