Organization Active NPI

Huskins Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1386797405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100760 Issued in CA
Legal business name
HUSKINS MEDICAL SUPPLIES
Practice address
3957 Eagle Rock Blvd
Los Angeles, CA 90065-3605
Phone
(323) 254-6665
Fax
(323) 254-0549
NPI assigned
Jan 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Arlene Kathie Huskins
Title
Owner
Phone
(323) 254-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100760 CA Primary

Addresses

Primary practice location

3957 Eagle Rock Blvd
Los Angeles, CA 90065-3605

Mailing address

3957 Eagle Rock Blvd
Los Angeles, CA 90065-3605
Phone (323) 254-6665

Other identifiers 1

IdentifierTypeStateIssuer
DME01580GMedicaidCA

National Provider Directory

National Provider Directory

Locations

3957 Eagle Rock Blvd
Los Angeles, CA 90065
Phone (323) 254-6665

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386797405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653605",
            "telephone_number": "323-254-6665",
            "fax_number": "323-254-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653605",
            "telephone_number": "323-254-6665",
            "fax_number": "323-254-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSKINS MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSKINS",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "KATHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-254-6665"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01580G",
            "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 Aug 22, 2020; 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.