Individual provider Active NPI

Vartan Minasyan

  • Durable Medical Equipment & Medical Supplies
  • Rancho Cordova, CA
National Provider Identifier
1174704597
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101072 Issued in CA
Practice address
11082 Coloma Rd
Suite #10
Rancho Cordova, CA 95670-2875
Phone
(916) 638-2363
Fax
(916) 638-2364
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101072 CA Primary

Addresses

Primary practice location

11082 Coloma Rd
Suite #10
Rancho Cordova, CA 95670-2875

Mailing address

11082 Coloma Rd
Suite #10
Rancho Cordova, CA 95670-2875
Phone (916) 638-2363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101072CAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
The Bee Medical Supplies Durable Medical Equipment & Medical Supplies Current Accepting new patients

Locations

11082 Coloma Rd
Ste 10
Rancho Cordova, CA 95670
Phone (916) 638-2363

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1174704597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11082 COLOMA RD",
            "address_2": "SUITE #10",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702875",
            "telephone_number": "916-638-2363",
            "fax_number": "916-638-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11082 COLOMA RD",
            "address_2": "SUITE #10",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702875",
            "telephone_number": "916-638-2363",
            "fax_number": "916-638-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASYAN",
        "first_name": "VARTAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.