SBS Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SBS MEDICAL SUPPLIES LLC

Practice address

12633 N Cave Creek Rd Ste 105
Phoenix, AZ 85022-5858

Phone

(602) 612-2000

Fax

(602) 513-8900

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Sergey Simcha Suleimanov

Title

Authorized Offical

Phone

(602) 612-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1467205401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12633 N CAVE CREEK RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225858",
            "telephone_number": "602-612-2000",
            "fax_number": "602-513-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12633 N CAVE CREEK RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225858",
            "telephone_number": "602-612-2000",
            "fax_number": "602-513-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBS MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "SULEIMANOV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_middle_name": "SIMCHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "602-612-2000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Sayson
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• Alexander Sazdanoff, D.C.
• Sonny Sazdanoff, D.C.
• Andrew G Sbiliris, D.C.
• SC Simon MD PLLC
• Felicia B Scacewater, CRNA
• Sarah Ann Scagnelli, PA
• Tara Scala, LMSW
• Scaled Insights America Inc.

• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.