Organization Active NPI

Complete Medical Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Canoga Park, CA
National Provider Identifier
1487796785
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPLETE MEDICAL EQUIPMENT AND SUPPLIES
Practice address
20944 Sherman Way
Suite 104
Canoga Park, CA 91303-1747
Phone
(818) 992-3402
Fax
(818) 992-3407
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Afework Mamo
Title
Owner
Phone
(818) 992-3402

Specialties & licenses 1

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

Addresses

Primary practice location

20944 Sherman Way
Suite 104
Canoga Park, CA 91303-1747

Mailing address

20944 Sherman Way
Suite 104
Canoga Park, CA 91303-1747
Phone (818) 992-3402

Other identifiers 1

IdentifierTypeStateIssuer
DME03237FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Complete Medical Equipment and Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487796785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY",
            "address_2": "SUITE 104",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031747",
            "telephone_number": "818-992-3402",
            "fax_number": "818-992-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY",
            "address_2": "SUITE 104",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031747",
            "telephone_number": "818-992-3402",
            "fax_number": "818-992-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL EQUIPMENT AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMO",
        "authorized_official_first_name": "AFEWORK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-992-3402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03237F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.