AXIAL MEDICAL SUPPLY INC. (NPI# 1619070257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619070257 |
| Entity Type | Organization |
| Organization Name | AXIAL MEDICAL SUPPLY INC. |
| Other Organization Name | AXIAL MEDICAL SUPPLY |
| Practice Address |
9565 Jamacha Blvd Spring Valley CA 91977-5139 |
| Practice Telephone | 6194797089 |
| Practice Fax Number | 6194797096 |
| Mailing Telephone | 6194797089 |
| Mailing Fax Number | 6194797096 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EBOW ADDAE-MENSAH (PRESIDENT) |
| Authorized Official Telephone | 6194797089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 332B00000X | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HOME MEDICAL DEVICE | 103541 | 01 |
| Other Name | Type Code |
|---|---|
| Axial Medical Supply | Doing Business As Name - Organization |
| Street Address |
9565 JAMACHA BLVD |
| City | SPRING VALLEY |
| State | CA |
| Zip Code | 91977-5139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710448436 | Tonetta Marie Smith | Counselor | 3322 Sweetwater Blvd, Ste 102, Spring Valley, CA 91977 | 2019-03-26 |
| 1164938080 | Tanya Renee Grant | Registered Nurse | 3536 Sweetwater Springs Blvd #d17, Spring Valley, CA 91977 | 2017-12-15 |
| 1326468034 | Michael Angelo Porter Sr. | Counselor | 3648 S Bonita St., Spring Valley, CA 91977 | 2014-04-21 |
| 1861819807 | Tara Bruton | Student in an Organized Health Care Education/Training Program | 211 Tarango Pl, Spring Valley, CA 91977 | 2014-03-27 |
| 1871835470 | Mcalister Institute for Treatment & Education, Inc. | Counselor | 8585 Blossom Lane, Room 117 and 117a, Spring Valley, CA 91977 | 2013-03-21 |
| 1992051692 | Alexander Forrest Greer | Counselor | 8585 Blossom Ln., Spring Valley, CA 91977 | 2012-07-31 |
| 1538433784 | Christopher Joseph Pittman | Rehabilitation Practitioner | 1209 San Miguel Avenue, Spring Valley, CA 91977 | 2012-03-06 |
| 1962653055 | Cherokee Personnel Services | Nursing Facility/Intermediate Care Facility | 3005 Rockcliff Ln, Spring Valley, CA 91977 | 2008-10-07 |
| 1942473665 | Victor Manuel Rendon | Pharmacy Technician | 1633 Gremlin Way, Spring Valley, CA 91977 | 2008-04-03 |
| 1568633295 | Maria V Agustin | Dentist | 645 Sweetwawter Rd., Spring Valley, CA 91977 | 2008-03-21 |
| Find all providers in zip 91977 | ||||
| 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 |
|---|---|---|---|---|
| 1306455076 | Empire Medical Products LLC | Durable Medical Equipment & Medical Supplies | 11 Charles Ln Ste 111, Spring Valley, NY 10977-3331 | 2020-07-28 |
| 1881153039 | Good Fit Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 9628 Campo Rd Ste T, Spring Valley, CA 91977-1227 | 2019-03-18 |
| 1760940233 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 802 Memorial Dr Ste 100, Spring Valley, MN 55975-1024 | 2019-03-04 |
| 1609397157 | Advanced Medical World LLC | Durable Medical Equipment & Medical Supplies | 2 Perlman Dr Unit Ll13, Spring Valley, NY 10977-5245 | 2017-07-05 |
| 1053831842 | Care & Alert Systems LLC | Durable Medical Equipment & Medical Supplies | 750 Chestnut Ridge Rd Unit 223, Spring Valley, NY 10977-6443 | 2017-06-22 |
| 1962957514 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 9665 Campo Rd, Spring Valley, CA 91977-1228 | 2016-08-23 |
| 1962707646 | Medi Ready Inc. | Durable Medical Equipment & Medical Supplies | 29 Jefferson Ave., Suite 2, Spring Valley, NY 10977 | 2011-01-11 |
| 1205090263 | Calbiotech, Inc. | Durable Medical Equipment & Medical Supplies | 10461 Austin Dr, Spring Valley, CA 91978-1524 | 2008-07-17 |
| 1639246317 | St Margarets Hospital | Durable Medical Equipment & Medical Supplies | 416 E Dakota St, Spring Valley, IL 61362-2235 | 2006-11-29 |
| 1497829360 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 254 Old Nyack Tpke, Suite D, Spring Valley, NY 10977-5741 | 2006-11-20 |
| Find all providers in SPRING VALLEY | ||||
| City | SPRING VALLEY |
| Zip Code | 91977 |
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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.