Individual provider Active NPI

Rouben Zargarian

  • Durable Medical Equipment & Medical Supplies
  • Glendora, CA
National Provider Identifier
1457531154
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102288 Issued in CA
Practice address
150 S Grand Ave Ste H
Glendora, CA 91741-4718
Phone
(888) 616-0664
Fax
(626) 914-5225
NPI assigned
Nov 9, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102288 CA Primary
Prosthetic/Orthotic Supplier 335E00000X CFO02436 DE

Addresses

Primary practice location

150 S Grand Ave Ste H
Glendora, CA 91741-4718

Mailing address

150 S Grand Ave Ste H
Glendora, CA 91741-4718
Phone (888) 616-0664

Other identifiers 1

IdentifierTypeStateIssuer
DME02900FOtherCAMEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102288CAMDDurable Medical Equipment & Medical Supplies
CFO02436DEMDProsthetic/Orthotic Supplier

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1457531154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S GRAND AVE STE H",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414718",
            "telephone_number": "888-616-0664",
            "fax_number": "626-914-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S GRAND AVE STE H",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414718",
            "telephone_number": "888-616-0664",
            "fax_number": "626-914-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARGARIAN",
        "first_name": "ROUBEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102288",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CFO02436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "DME02900F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.