Organization Active NPI

Elegant Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Mission Hills, CA
National Provider Identifier
1457059099
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELEGANT MEDICAL SUPPLY
Practice address
15434 Devonshire St
Mission Hills, CA 91345-2619
Phone
(818) 830-2445
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Mr. Eleni Karapetyan
Title
Ceo
Phone
(818) 830-2445

Specialties & licenses 1

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

Addresses

Primary practice location

15434 Devonshire St
Mission Hills, CA 91345-2619

Mailing address

15434 Devonshire St
Mission Hills, CA 91345-2619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925002204 CA DME Supplier - Medical Supply Company 3870947856 Practice locations: Mission Hills, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1457059099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15434 DEVONSHIRE ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15434 DEVONSHIRE ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452619",
            "telephone_number": "818-830-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "ELENI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-830-2445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.