Active NPI
Rouben Zargarian
- Durable Medical Equipment & Medical Supplies
- Glendora, CA
National Provider Identifier
1457531154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 102288
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02900F | Other | CA | MEDICAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102288 | CA | MD | Durable Medical Equipment & Medical Supplies |
| CFO02436 | DE | MD | Prosthetic/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.
-
- Durable Medical Equipment & Medical Supplies
- Glendora, CA
- NPI 1427345552
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.