Diabetic Medic, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC MEDIC, INC

Practice address

2655 Ulmerton Rd Ste 415
Clearwater, FL 33762-3337

Phone

(818) 517-8743

NPI assigned

Aug 14, 2017

Last updated

Aug 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marianna Sadikyan

Title

Compliance Officer

Phone

(818) 517-8743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1356867188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY STE 115",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 ULMERTON RD STE 415",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623337",
            "telephone_number": "818-517-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC MEDIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "SADIKYAN",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "818-517-8743"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.