Organization Active NPI

JC Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, CA
National Provider Identifier
1407019128
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103332 Issued in CA
Legal business name
JC MEDICAL SUPPLY
Practice address
1066 Atlantic Ave Ste M
Long Beach, CA 90813-3401
Phone
(562) 432-5685
Fax
(562) 432-5827
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Amalya CherniavskyNPI 1376662031
Title
Owner
Phone
(562) 432-5685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103332 CA Primary

Addresses

Primary practice location

1066 Atlantic Ave Ste M
Long Beach, CA 90813-3401

Mailing address

1066 Atlantic Ave Ste M
Long Beach, CA 90813-3401
Phone (562) 432-5685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1407019128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 ATLANTIC AVE STE M",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133401",
            "telephone_number": "562-432-5685",
            "fax_number": "562-432-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 ATLANTIC AVE STE M",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133401",
            "telephone_number": "562-432-5685",
            "fax_number": "562-432-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CHERNIAVSKY",
        "authorized_official_first_name": "AMALYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-432-5685"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.