Organization Active NPI

Vila Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Van Nuys, CA
National Provider Identifier
1063425668
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
VILA MEDICAL SUPPLY INC.
Practice address
14545 Friar St
Suite 112
Van Nuys, CA 91411-2357
Phone
(818) 785-7722
Fax
(818) 785-7772
NPI assigned
Aug 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
Ivan Tokarev
Title
President/Ceo
Phone
(818) 437-9434

Specialties & licenses 1

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

Addresses

Primary practice location

14545 Friar St
Suite 112
Van Nuys, CA 91411-2357

Mailing address

PO Box 56334
Sherman Oaks, CA 91413-1334
Phone (818) 785-7722

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063425668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56334",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914131334",
            "telephone_number": "818-785-7722",
            "fax_number": "818-785-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST",
            "address_2": "SUITE 112",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112357",
            "telephone_number": "818-785-7722",
            "fax_number": "818-785-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILA MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOKAREV",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-437-9434"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.