Canoga Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CANOGA MEDICAL SUPPLY, INC

Practice address

20944 Sherman Way Ste 111
Canoga Park, CA 91303-3628

Phone

(818) 330-1402

NPI assigned

Mar 31, 2016

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Gibbs

Title

President

Phone

(702) 793-9763

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1295198984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626218",
            "telephone_number": "360-504-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY STE 111",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033628",
            "telephone_number": "818-330-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOGA MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-793-9763"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mouri Canenguez
• Joy Cano
• Jullie Cano
• Sabrina Cano
• Canoga Healthcare LLC (West Hills Health and Rehabilitation Center)
• Canoga Park Operations, LLC
• Canoga Park Urgent Care Family Medicine
• Carla Cantoral Orrego
• Canyon Trails at Topanga
• Canyon Vista Post Acute LLC

• Durable Medical Equipment & Medical Supplies in Canoga Park, CA
• Providers in Canoga Park, 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 8, 2018; 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.