Organization Active NPI

Valley Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Van Nuys, CA
National Provider Identifier
1043243462
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103029 Issued in CA
Legal business name
VALLEY MEDICAL SUPPLY, INC.
Practice address
7130 Van Nuys Blvd
Van Nuys, CA 91405-3005
Phone
(818) 997-0069
Fax
(818) 997-8258
NPI assigned
Jul 9, 2006
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Mrs. Jade J Choi
Title
President/Officer
Phone
(818) 997-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103029 CA Primary

Addresses

Primary practice location

7130 Van Nuys Blvd
Van Nuys, CA 91405-3005

Mailing address

7130 Van Nuys Blvd
Van Nuys, CA 91405-3005
Phone (818) 997-0069

Other identifiers 1

IdentifierTypeStateIssuer
DME03179FMedicaidCA

National Provider Directory

National Provider Directory

Locations

7130 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 997-0069

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1043243462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053005",
            "telephone_number": "818-997-0069",
            "fax_number": "818-997-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053005",
            "telephone_number": "818-997-0069",
            "fax_number": "818-997-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OFFICER",
        "authorized_official_telephone_number": "818-997-0069",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03179F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.