Organization Active NPI

Anahit Grigoryan

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1629080700
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101183 Issued in CA
Legal business name
ANAHIT GRIGORYAN
Practice address
4448 Eagle Rock Blvd Ste a
Los Angeles, CA 90041-3512
Phone
(323) 257-5535
Fax
(323) 257-5396
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Mrs. Anahit Grigoryan
Title
DME Owner
Phone
(323) 257-5535

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101183 CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 18131 CA
Prosthetic/Orthotic Supplier 335E00000X C17386 CA

Addresses

Primary practice location

4448 Eagle Rock Blvd Ste a
Los Angeles, CA 90041-3512

Mailing address

4448 Eagle Rock Blvd Ste a
Los Angeles, CA 90041-3512
Phone (323) 257-5535

Other identifiers 1

IdentifierTypeStateIssuer
DME02836FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Anahit Grigoryan2 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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1629080700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 EAGLE ROCK BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413512",
            "telephone_number": "323-257-5535",
            "fax_number": "323-257-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 EAGLE ROCK BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413512",
            "telephone_number": "323-257-5535",
            "fax_number": "323-257-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHIT GRIGORYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "DME OWNER",
        "authorized_official_telephone_number": "323-257-5535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101183",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "18131",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C17386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02836F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.