Organization Active NPI

Nissim Institutional Providers

  • Durable Medical Equipment & Medical Supplies
  • Panorama City, CA
National Provider Identifier
1265481873
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NISSIM INSTITUTIONAL PROVIDERS
Practice address
9612 Van Nuys Blvd
#108
Panorama City, CA 91402-1044
Phone
(909) 447-7040
Fax
(909) 447-7030
NPI assigned
May 9, 2006
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Mr. Howard Weiss
Title
Owner
Phone
(818) 892-4555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Nursing Facility Supplies (DME) 332BN1400X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU

Addresses

Primary practice location

9612 Van Nuys Blvd
#108
Panorama City, CA 91402-1044

Mailing address

2701 Kimball Ave
Pomona, CA 91767-2268
Phone (909) 447-7040

Other identifiers 1

IdentifierTypeStateIssuer
DME01561FMedicaidCA

National Provider Directory

National Provider Directory

Locations

9612 Van Nuys Blvd
Ste 108
Van Nuys, CA 91402
Phone (818) 892-4555

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1265481873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 KIMBALL AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672268",
            "telephone_number": "909-447-7040",
            "fax_number": "909-447-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 VAN NUYS BLVD",
            "address_2": "#108",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021044",
            "telephone_number": "909-447-7040",
            "fax_number": "909-447-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSIM INSTITUTIONAL PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-892-4555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01561F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.