Organization Active NPI

Core Medical Supply LLC

  • Prosthetic/Orthotic Supplier
  • Van Nuys, CA
National Provider Identifier
1437984168
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CORE MEDICAL SUPPLY LLC
Practice address
6525 Van Nuys Blvd
Van Nuys, CA 91401-1425
Phone
(818) 332-7972
Fax
(818) 988-2622
NPI assigned
Sep 3, 2024
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Farzane Kamali Khesal
Title
President
Phone
(818) 988-2123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

6525 Van Nuys Blvd
Van Nuys, CA 91401-1425

Mailing address

6525 Van Nuys Blvd
Van Nuys, CA 91401-1425
Phone (818) 332-7972

National Provider Directory

National Provider Directory

Locations

6525 Van Nuys Blvd
Van Nuys, CA 91401
Phone (818) 332-7972

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1437984168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011425",
            "telephone_number": "818-332-7972",
            "fax_number": "818-988-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011425",
            "telephone_number": "818-332-7972",
            "fax_number": "818-988-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "KAMALI KHESAL",
        "authorized_official_first_name": "FARZANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-988-2123"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.