Organization Active NPI

Atlantic Health Car

Doing business as Atlantic Health Care

  • Durable Medical Equipment & Medical Supplies
  • Maywood, CA
National Provider Identifier
1043235229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0002002846-0001-0 Issued in CA
Legal business name
ATLANTIC HEALTH CAR
Doing business as
Atlantic Health Care
Practice address
6033 Atlantic BL
#8
Maywood, CA 90270-3193
Phone
(323) 562-8800
Fax
(323) 562-8811
NPI assigned
Jul 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Rafael Grigorian
Title
Owner
Phone
(323) 562-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0002002846-0001-0 CA Primary

Addresses

Primary practice location

6033 Atlantic BL
#8
Maywood, CA 90270-3193

Mailing address

6033 Atlantic BL
#8
Maywood, CA 90270-3193
Phone (323) 562-8800

Other names 1

  • ATLANTIC HEALTH CARE Doing business as

National Provider Directory

National Provider Directory

Locations

6033 Atlantic Blvd
Ste 8
Maywood, CA 90270
Phone (323) 562-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043235229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 ATLANTIC BL",
            "address_2": "#8",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703193",
            "telephone_number": "323-562-8800",
            "fax_number": "323-562-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 ATLANTIC BL",
            "address_2": "#8",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703193",
            "telephone_number": "323-562-8800",
            "fax_number": "323-562-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTH CAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIGORIAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-562-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0002002846-0001-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maywood, 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.