Java Enterprises, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103697 Issued in CA

Legal business name

JAVA ENTERPRISES, INC.

Doing business as

American Home Medical

Practice address

18312 Oxnard St
Tarzana, CA 91356-1502

Phone

(818) 708-0937

Fax

(818) 708-9720

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

David S. Wagner

Title

President

Phone

(818) 708-0937

Specialties & licenses 1

Addresses

Other names 1

• American Home Medical Doing business as

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023157765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18312 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561502",
            "telephone_number": "818-708-0937",
            "fax_number": "818-708-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18312 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561502",
            "telephone_number": "818-708-0937",
            "fax_number": "818-708-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVA ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-708-0937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Alexander James Jr.
• Jamie Leff Ms Rd
• Garland Jamison III
• Amanda Jaramillo
• Rebekkah Paige Jaramillo
• Behnaz Javaherian, NP
• Saghar Javaherian, PHARMD
• Macy Javaherifar
• Samira Javaherifar
• Jean T Miyashita MD

• Durable Medical Equipment & Medical Supplies in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• 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.