Avasco Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0002402171-0001-2 Issued in CA

Legal business name

AVASCO MEDICAL SUPPLY, INC

Practice address

4268 E Los Angeles Ave
Suite #102
Simi Valley, CA 93063-3366

Phone

(805) 522-5333

Fax

(805) 522-6333

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Randy Ababseh

Title

President

Phone

(805) 522-5333

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1295053858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4268 E LOS ANGELES AVE",
            "address_2": "SUITE #102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633366",
            "telephone_number": "805-522-5333",
            "fax_number": "805-522-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4268 E LOS ANGELES AVE",
            "address_2": "SUITE #102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633366",
            "telephone_number": "805-522-5333",
            "fax_number": "805-522-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVASCO MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "ABABSEH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-522-5333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0002402171-0001-2",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "51170",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "0002402171-0001-2",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Dolores Chua Austria, DDS
• Vanessa Avalos
• Sargis Avanesyan, RPH
• Jeffrey Alan Avants, MA, LMFT, CADC II,
• Avasco Medical Supply Inc.
• Avia Home Healthcare Inc.
• Brittney Rena Ayers, NURSE PRACTITIONER
• Madlen Ayvazian, LCSW
• Yelena Ayzenberg, PHARM D
• Azar Daneshbod MD Medical Corporation

• Durable Medical Equipment & Medical Supplies in Simi Valley, CA
• Providers in Simi Valley, 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 Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.