Organization Active NPI

Medical Quick Assist Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1356567580
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
16523 100933 Issued in CA
Legal business name
MEDICAL QUICK ASSIST INC
Practice address
6404 Wilshire Blvd
Suite 104
Los Angeles, CA 90048-5501
Phone
(323) 944-0250
Fax
(323) 944-0251
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Ms. Natella Mazur
Title
Ceo
Phone
(323) 944-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 16523 100933 CA Primary

Addresses

Primary practice location

6404 Wilshire Blvd
Suite 104
Los Angeles, CA 90048-5501

Mailing address

6404 Wilshire Blvd
Suite 104
Los Angeles, CA 90048-5501
Phone (323) 944-0250

Other identifiers 1

IdentifierTypeStateIssuer
02047FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930003690 CA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 9739291634 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Medassist6404 Wilshire Blvd, Los Angeles, CA 90048-5518(323) 944-0250 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: … Does not accept assignmentParticipating since Apr 27, 2000

National Provider Directory

National Provider Directory

Locations

6404 Wilshire Blvd
Ste 104
Los Angeles, CA 90048
Phone (323) 944-0250

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1356567580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD",
            "address_2": "SUITE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485501",
            "telephone_number": "323-944-0250",
            "fax_number": "323-944-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD",
            "address_2": "SUITE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485501",
            "telephone_number": "323-944-0250",
            "fax_number": "323-944-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL QUICK ASSIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "NATELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-944-0250",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "16523   100933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02047F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.