Organization Active NPI

Aaa Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1043237795
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AAA MEDICAL EQUIPMENT
Practice address
4220 W Northern Ave
Suite 114
Phoenix, AZ 85051-5753
Phone
(623) 842-1900
Fax
(623) 842-1905
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Valeri V Kousarine
Title
Owner
Phone
(623) 842-1900

Specialties & licenses 1

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

Addresses

Primary practice location

4220 W Northern Ave
Suite 114
Phoenix, AZ 85051-5753

Mailing address

4220 W Northern Ave
Suite 114
Phoenix, AZ 85051-5756
Phone (623) 842-1900

National Provider Directory

National Provider Directory

Locations

4220 W Northern Ave
Ste 114
Phoenix, AZ 85051
Phone (623) 842-1900

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1043237795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W NORTHERN AVE",
            "address_2": "SUITE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515756",
            "telephone_number": "623-842-1900",
            "fax_number": "623-842-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W NORTHERN AVE",
            "address_2": "SUITE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515753",
            "telephone_number": "623-842-1900",
            "fax_number": "623-842-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KOUSARINE",
        "authorized_official_first_name": "VALERI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-842-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.