Active NPI
Socal Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Anaheim, CA
National Provider Identifier
1366913584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOCAL MEDICAL SUPPLIES
- Doing business as
- Anaheim Medical Supplies
- Practice address
- 1742 S Euclid St
Anaheim, CA 92802-2429 - Phone
- (714) 215-4586
- NPI assigned
- Dec 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stepan Muradyan
- Title
- Manager
- Phone
- (714) 215-4586
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
1742 S Euclid St
Anaheim, CA 92802-2429
Mailing address
1742 S Euclid St
Anaheim, CA 92802-2429
Phone (714) 215-4586
Other names 1
- Anaheim Medical Supplies
National Provider Directory
National Provider DirectoryLocations
1742 S Euclid St
Anaheim, CA 92802
Phone (714) 215-4586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544918400000",
"number": "1366913584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022429",
"telephone_number": "714-215-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1742 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022429",
"telephone_number": "714-215-4586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCAL MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A",
"authorized_official_last_name": "MURADYAN",
"authorized_official_first_name": "STEPAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "714-215-4586",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anaheim Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.