Organization Active NPI

Specific Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Northridge, CA
National Provider Identifier
1235308230
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
48967 Issued in CA
Legal business name
SPECIFIC MEDICAL SUPPLIES INC
Practice address
8700 Reseda Blvd
204
Northridge, CA 91324-4041
Phone
(818) 882-2868
Fax
(310) 281-6111
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Offiong E Offiong
Title
President
Phone
(818) 882-2868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 48967 CA Primary

Addresses

Primary practice location

8700 Reseda Blvd
204
Northridge, CA 91324-4041

Mailing address

8700 Reseda Blvd
204
Northridge, CA 91324-4041
Phone (818) 882-2868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1235308230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 RESEDA BLVD",
            "address_2": "204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244041",
            "telephone_number": "818-882-2868",
            "fax_number": "310-281-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 RESEDA BLVD",
            "address_2": "204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244041",
            "telephone_number": "818-882-2868",
            "fax_number": "310-281-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIFIC MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "OFFIONG",
        "authorized_official_first_name": "OFFIONG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-882-2868"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "48967",
            "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 Apr 9, 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.