Organization Active NPI

Northridge Plaza Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Northridge, CA
National Provider Identifier
1134217896
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHRIDGE PLAZA MEDICAL SUPPLY
Practice address
18529 Roscoe Blvd
Northridge, CA 91324-4632
Phone
(818) 727-7222
Fax
(818) 727-1624
NPI assigned
Oct 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Abraham Tatoyan
Title
President
Phone
(818) 727-7222

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

18529 Roscoe Blvd
Northridge, CA 91324
Phone (818) 734-7670

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

18529 Roscoe Blvd
Northridge, CA 91324-4632

Mailing address

18529 Roscoe Blvd
Northridge, CA 91324-4632
Phone (818) 727-7222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134217896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18529 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244632",
            "telephone_number": "818-727-7222",
            "fax_number": "818-727-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18529 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244632",
            "telephone_number": "818-727-7222",
            "fax_number": "818-727-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE PLAZA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TATOYAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-727-7222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.