Organization Active NPI

Fair Oaks Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Carmichael, CA
National Provider Identifier
1306002894
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FAIR OAKS MEDICAL SUPPLY, INC.
Practice address
5933 Fair Oaks Blvd
Carmichael, CA 95608
Phone
(916) 482-1216
Fax
(916) 482-1297
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Lusine Avagyan
Title
Owner
Phone
(916) 482-1216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

5933 Fair Oaks Blvd
Carmichael, CA 95608

Mailing address

5933 Fair Oaks Blvd
Carmichael, CA 95608-5221
Phone (916) 482-1216

National Provider Directory

National Provider Directory

Locations

5933 Fair Oaks Blvd
Carmichael, CA 95608
Phone (916) 482-1216

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1306002894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 FAIR OAKS BLVD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085221",
            "telephone_number": "916-482-1216",
            "fax_number": "916-482-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 FAIR OAKS BLVD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "95608",
            "telephone_number": "916-482-1216",
            "fax_number": "916-482-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-482-1216"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.