Interstate Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INTERSTATE MEDICAL SUPPLY INC

Practice address

1096 N Western Ave Ste 202
Los Angeles, CA 90029-2340

Phone

(949) 386-4054

Fax

(800) 886-7086

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Haig Christopher Avakian, COF

Title

Ceo

Phone

(949) 386-4054

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1508531377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3342",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912210342",
            "telephone_number": "949-386-4054",
            "fax_number": "800-886-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 N WESTERN AVE STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292340",
            "telephone_number": "949-386-4054",
            "fax_number": "800-886-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERSTATE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "HAIG",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-386-4054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INTERSTATEMEDICALSUPPLY.COM",
            "affiliation": "N",
            "endpointDescription": "DIRECT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "135 W Ball Rd Ste C",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928056023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Intergrated Home Health Care Inc
• Alexander Luis Interiano, MSN, APRN, NP
• Sofia Interiano
• Interim Healthcare Inc.
• Interim Homestyle Services, Inc.
• Daisy Saengdao Inthisith
• Intra Care Home Health Providers Inc
• Intra Care Hospice Inc.
• Intuitionist Corporation (A Nurse's Touch Concierge)
• Intuittrends, Inc.

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.