Organization Active NPI

Gary Jehdian

  • Durable Medical Equipment & Medical Supplies
  • Glendora, CA
National Provider Identifier
1215974555
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GARY JEHDIAN
Practice address
926 S Grand Ave
Glendora, CA 91740-4808
Phone
(626) 335-4615
Fax
(626) 335-0966
NPI assigned
Jun 2, 2006
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Mr. Gary Jehdian, CPEDNPI 1548424294
Title
Owner
Phone
(626) 335-4615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

926 S Grand Ave
Glendora, CA 91740-4808

Mailing address

926 S Grand Ave
Glendora, CA 91740-4808
Phone (626) 335-4615

National Provider Directory

National Provider Directory

Locations

926 S Grand Ave
Glendora, CA 91740
Phone (626) 335-4615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1215974555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404808",
            "telephone_number": "626-335-4615",
            "fax_number": "626-335-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404808",
            "telephone_number": "626-335-4615",
            "fax_number": "626-335-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY JEHDIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "JEHDIAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-335-4615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.