NPIMap

Organization Active NPI

Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1255523643
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEMORIAL MEDICAL GROUP INC
Practice address
5332 N 7TH Ave
Phoenix, AZ 85013-1903
Phone
(602) 265-1694
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Alexey Drogomiretskiy
Title
Ceo
Phone
(602) 265-1694

Specialties & licenses 1

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

Addresses

Primary practice location

5332 N 7TH Ave
Phoenix, AZ 85013-1903

Mailing address

5332 N 7TH Ave
Phoenix, AZ 85013-1903
Phone (602) 265-1694

National Provider Directory

National Provider Directory

Locations

5332 N 7th Ave
Phoenix, AZ 85013
Phone (602) 265-1694

7677 Center Ave
Ste 206
Huntington Beach, CA 92647
Phone (714) 766-6560

4401 Atlantic Ave
Ste 300
Long Beach, CA 90807
Phone (562) 481-3500

1025 Atlantic Ave
Ste 309
Long Beach, CA 90813

2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105

2865 Atlantic Ave
Ste 224
Long Beach, CA 90806

3939 Atlantic Ave
Ste 205
Long Beach, CA 90807
Phone (562) 989-6457

3791 Katella Ave
Ste 106
Los Alamitos, CA 90720
Phone (562) 430-3114

1700 E Cesar E Chavez Ave
Ste 106
Los Angeles, CA 90033

711 W College St
Ste 625
Los Angeles, CA 90012
Phone (323) 267-0212

7230 Medical Center Dr
Ste 203
West Hills, CA 91307
Phone (818) 226-6811

7301 Medical Center Dr
Ste 207
West Hills, CA 91307
Phone (818) 340-2800

15141 Whittier Blvd
Ste 250
Whittier, CA 90603

Practitioners & affiliated clinicians

Practitioners 1,221

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

View all 1,221

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1255523643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131903",
            "telephone_number": "602-265-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131903",
            "telephone_number": "602-265-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "DROGOMIRETSKIY",
        "authorized_official_first_name": "ALEXEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-265-1694"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.