Endeavor Medical Supply

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ENDEAVOR MEDICAL SUPPLY

Practice address

5552 Cerritos Ave Ste C
Cypress, CA 90630-4725

Phone

(714) 522-1500

Fax

(714) 522-1503

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Marilin VargasNPI 1730282351

Title

Owner

Phone

(714) 522-1500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilin Vargas

  • Specialist
  • Van Nuys, CA
  • NPI 1730282351
  NPD Authorized official

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1356767545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 CERRITOS AVE STE C",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304725",
            "telephone_number": "714-522-1500",
            "fax_number": "714-522-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 CERRITOS AVE STE C",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304725",
            "telephone_number": "714-522-1500",
            "fax_number": "714-522-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MARILIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-522-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Cypress, CA
• Providers in Cypress, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.