Pacc Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PACC MEDICAL SUPPLY INC

Practice address

17706 Sierra Hwy
Santa Clarita, CA 91351-1635

Phone

(424) 393-6776

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Arevik KaramyanNPI 1730702291

Title

Ceo

Phone

(424) 393-6776

Specialties & licenses 1

Addresses

Other names 1

• PURE AUTISM COUNSELING CENTER INC. /DBA PACC MENTAL HEALTH SERVICES Other name

Locations

Practitioners 1

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

• Arevik Karamyan

  • Student Health Clinic/Center
  • Santa Clarita, CA
  • NPI 1730702291
  NPD Authorized official

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1285491753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17706 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511635",
            "telephone_number": "424-393-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17706 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511635",
            "telephone_number": "424-393-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACC MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "KARAMYAN",
        "authorized_official_first_name": "AREVIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-393-6776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURE AUTISM COUNSELING CENTER INC. /DBA PACC MENTAL HEALTH SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marine Osipyan
• Tabitha Ostrowsky
• Chioma Osuji
• Benjamin Munoz Pablo Jr., LVN
• Pauline Tolentino Pablo, BCBA
• Pacific Foot and Ankle Institute PC
• Dana Kye Mishael Macato Pacis
• Helen Yunsun Paek, PHARM.D.
• Philip Palacio
• Katiana Pallais, CMT

• Durable Medical Equipment & Medical Supplies in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.