Tengiz Iosebashvili

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

916545 Issued in CA

Legal business name

TENGIZ IOSEBASHVILI

Doing business as

Royal Medical Supply

Practice address

1024 Mission St
San Francisco, CA 94103-2813

Phone

(415) 431-9900

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tengiz Iosebashvili

Title

Owner

Phone

(415) 431-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royal Medical Supply Doing business as

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1376557629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032813",
            "telephone_number": "415-431-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENGIZ IOSEBASHVILI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "IOSEBASHVILI",
        "authorized_official_first_name": "TENGIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-431-9900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "916545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01910F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Teng
• Chengyun (Charlotte) Teng
• Peter I Teng, M.D.
• Shelly Teng
• Viking Teng
• Andrea Gail Tenner, MD, MPH
• Jessica Tenney, M.D.
• Danarae Tenollar, RN
• Jasmine Alicia Tenorio Monroy
• January Tenorio

• Durable Medical Equipment & Medical Supplies in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.