Organization Active NPI

Stat Homehealth Medical Supply, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Downey, CA
National Provider Identifier
1295926640
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
47463 Issued in CA
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

Updated by the provider on Aug 8, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47463OtherCADEPT. OF PUBLIC HEALTH

Other names 1

  • STAT Homehealth Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.