Sierra Blackston Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

46540 Issued in CA

Legal business name

SIERRA BLACKSTON MEDICAL SUPPLY INC.

Practice address

6463 N Blackstone Ave
Fresno, CA 93710-3508

Phone

(559) 432-4936

Fax

(559) 432-6236

NPI assigned

Jan 31, 2007

Last updated

Feb 7, 2008By 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

Mr. Gagik Khalatyan

Title

President

Phone

(559) 432-4936

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1407993926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103508",
            "telephone_number": "559-432-4936",
            "fax_number": "559-432-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103508",
            "telephone_number": "559-432-4936",
            "fax_number": "559-432-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA BLACKSTON MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "KHALATYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-432-4936",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Anthony Siegel
• William Lowell Siegfried, M.D.
• Kathryn Anne Siemens, D.D.S.
• Mary Catherine Siemens, MA
• Sierra Anesthesai Associates
• Sierra Education & Research Institute
• Sierra Family Medical Group Corp (Sierra Allergy Asthma and Sinus Center)
• Sierra Haven Home Health LLC
• Sierra Industrial Medical Clinic, Inc
• Sierra Meadows and Ascend Psychiatric Group Inc.

• Durable Medical Equipment & Medical Supplies in Fresno, CA
• Providers in Fresno, 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 Feb 7, 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.