Organization Active NPI

DME Avenue Inc.

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
National Provider Identifier
1598470494
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DME AVENUE INC.
Practice address
418 Milford St Apt E
Glendale, CA 91203-2756
Phone
(818) 825-8273
NPI assigned
Jan 16, 2023
Last updated
Jan 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Mr. Marat Simonyan
Title
Ceo
Phone
(818) 825-8273

Specialties & licenses 1

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

Addresses

Primary practice location

418 Milford St Apt E
Glendale, CA 91203-2756

Mailing address

418 Milford St Apt E
Glendale, CA 91203-2756
Phone (818) 825-8273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1598470494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MILFORD ST APT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032756",
            "telephone_number": "818-825-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 MILFORD ST APT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032756",
            "telephone_number": "818-825-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME AVENUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "SIMONYAN",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-825-8273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.