Active NPI
Stat Homehealth Medical Supply, LLC.
- Durable Medical Equipment & Medical Supplies
- Downey, CA
National Provider Identifier
1295926640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 47463
- Legal business name
- STAT HOMEHEALTH MEDICAL SUPPLY, LLC.
- Doing business as
- STAT Homehealth Supplies
- Practice address
- 11411 Brookshire Ave
Suite 505
Downey, CA 90241-5003 - Phone
- (562) 622-1002
- Fax
- (562) 622-1058
- NPI assigned
- Aug 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Niko Oganesian, RCP
- Title
- President
- Phone
- (562) 622-1002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 47463 | CA | Primary |
Addresses
Primary practice location
11411 Brookshire Ave
Suite 505
Downey, CA 90241-5003
Mailing address
11411 Brookshire Ave
Suite 505
Downey, CA 90241-5003
Phone (562) 622-1002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47463 | Other | CA | DEPT. OF PUBLIC HEALTH |
Other names 1
- STAT Homehealth Supplies
National Provider Directory
National Provider DirectoryLocations
11411 Brookshire Ave
Ste 503
Downey, CA 90241
Phone (562) 862-5177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Downey, CA
- NPI 1427116532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186531200000",
"number": "1295926640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11411 BROOKSHIRE AVE",
"address_2": "SUITE 505",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902415003",
"telephone_number": "562-622-1002",
"fax_number": "562-622-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11411 BROOKSHIRE AVE",
"address_2": "SUITE 505",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902415003",
"telephone_number": "562-622-1002",
"fax_number": "562-622-1058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT HOMEHEALTH MEDICAL SUPPLY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A",
"authorized_official_last_name": "OGANESIAN",
"authorized_official_first_name": "NIKO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-622-1002",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RCP"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "47463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF PUBLIC HEALTH",
"identifier": "47463",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STAT Homehealth Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.