Avetis Avetisyan

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102525 Issued in CA

Legal business name

AVETIS AVETISYAN

Practice address

1133 El Camino Real Ste 7
South San Francisco, CA 94080-3288

Phone

(650) 872-7002

Fax

(650) 872-0441

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Avetis Avetisyan

Title

Owner

Phone

(650) 872-7002

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• A&T Medical Supply Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ressler, D.C.

  • Chiropractor
  • South San Francisco, CA
  • NPI 1205826039
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1114077328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 EL CAMINO REAL",
            "address_2": "SUITE 7",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803288",
            "telephone_number": "650-872-7002",
            "fax_number": "650-872-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EL CAMINO REAL STE 7",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803288",
            "telephone_number": "650-872-7002",
            "fax_number": "650-872-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVETIS AVETISYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "AVETIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-872-7002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS SS #",
            "identifier": "620-18-6957",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS DRIVER LINCES #",
            "identifier": "B6972866",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03047F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A&T Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelane Au
• Renee Aubuchon, MFT
• Jennifer Aurelio
• Veronica Avalos, D.D.S.
• Cecilia Racquel Hemedez Avenido, D.M.D.
• Jason Avilez
• Crystal Ayoob, RDN
• Anabelle Mendez Bacani
• Edward J. Baddour, MD
• Mona Badr, PT, DPT

• All providers in South San Francisco, CA
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.