Red Star Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

RED STAR MEDICAL SUPPLY, INC.

Practice address

15306 Devonshire St Ste B
Mission Hills, CA 91345-2775

Phone

(818) 920-5555

Fax

(818) 920-2888

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Migran Mike Aneian

Title

President

Phone

(818) 920-5555

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1124731138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15306 DEVONSHIRE ST STE B",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452775",
            "telephone_number": "818-920-5555",
            "fax_number": "818-920-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15306 DEVONSHIRE ST STE B",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452775",
            "telephone_number": "818-920-5555",
            "fax_number": "818-920-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED STAR MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ANEIAN",
        "authorized_official_first_name": "MIGRAN",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-920-5555"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CORTEX-EDI",
            "affiliation": "N",
            "endpointDescription": "CLEARINGHOUSE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15306 Devonshire St Ste B",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913452775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CORTEX-EDI",
            "affiliation": "N",
            "endpointDescription": "CLEARINGHOUSE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15306 Devonshire St Ste B",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913452775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.