Organization Active NPI

Primemed Equipments Inc

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
National Provider Identifier
1063712875
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIMEMED EQUIPMENTS INC
Practice address
1617 1/2 Victory Blvd
Glendale, CA 91201-3820
Phone
(818) 396-0260
Fax
(818) 396-0280
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Mr. Rubik Jungurdarian
Title
President
Phone
(818) 396-0260

Specialties & licenses 1

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

Addresses

Primary practice location

1617 1/2 Victory Blvd
Glendale, CA 91201-3820

Mailing address

1617 1/2 Victory Blvd
Glendale, CA 91201-3820
Phone (818) 396-0260

Other identifiers 1

IdentifierTypeStateIssuer
3313650OtherCASTATE CORP ID

National Provider Directory

National Provider Directory

Locations

1617 Victory Blvd
Glendale, CA 91201
Phone (818) 246-1133

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1063712875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 1/2 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013820",
            "telephone_number": "818-396-0260",
            "fax_number": "818-396-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 1/2 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013820",
            "telephone_number": "818-396-0260",
            "fax_number": "818-396-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEMED EQUIPMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "JUNGURDARIAN",
        "authorized_official_first_name": "RUBIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-396-0260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORP ID",
            "identifier": "3313650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.