Active NPI
Complete Medical Equipment and Supplies
- Durable Medical Equipment & Medical Supplies
- Canoga Park, CA
National Provider Identifier
1487796785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME03237F | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Complete Medical Equipment and Supplies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Plano, TX
- NPI 1912227968
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.