Rafiael Grigorian

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

132948 Issued in CA

Practice address

6033 Atlantic Blvd Ste 8
Maywood, CA 90270-3193

Phone

(323) 562-8800

Fax

(323) 562-8811

NPI assigned

Oct 31, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Health Car

  dba Atlantic Health Care

  • Durable Medical Equipment & Medical Supplies
  • Maywood, CA
  • NPI 1043235229
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1437338910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 ATLANTIC BLVD STE 8",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703193",
            "telephone_number": "323-562-8800",
            "fax_number": "323-562-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 ATLANTIC BLVD STE 8",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703193",
            "telephone_number": "323-562-8800",
            "fax_number": "323-562-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORIAN",
        "first_name": "RAFIAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "132948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Maywood, CA
• Providers in Maywood, 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 Nov 1, 2007; 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.