Organization Active NPI

Smart Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Northridge, CA
National Provider Identifier
1023113180
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SMART MEDICAL SUPPLIES
Practice address
18701 Parthenia St Ste 3
Northridge, CA 91324-3814
Phone
(818) 772-4979
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Julieta Esteban Antonio, RN, DON
Title
General Manager
Phone
(818) 772-4979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

18701 Parthenia St Ste 3
Northridge, CA 91324-3814

Mailing address

18701 Parthenia St Ste 3
Northridge, CA 91324-3814
Phone (818) 772-4979

Other identifiers 1

IdentifierTypeStateIssuer
DME02570FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023113180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 PARTHENIA ST STE 3",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243814",
            "telephone_number": "818-772-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 PARTHENIA ST STE 3",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243814",
            "telephone_number": "818-772-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_middle_name": "ESTEBAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "818-772-4979",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN, DON"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02570F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.