Medex Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDEX SUPPLY INC

Practice address

16442 Vanowen St
Lake Balboa, CA 91406-4729

Phone

(747) 343-9575

NPI assigned

Jan 23, 2026

Organization subpart

No

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

Authorized official

Name

Sharifkhon SirodzhovNPI 1396600912

Title

President

Phone

(747) 343-9575

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharifkhon Sirodzhov

  • Educational Certified Respiratory Therapist
  • Lake Balboa, CA
  • NPI 1396600912
  NPD Authorized official

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1629927686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16442 VANOWEN ST",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "747-343-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16442 VANOWEN ST",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "747-343-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "SIRODZHOV",
        "authorized_official_first_name": "SHARIFKHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-343-9575"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lake Balboa, CA
• Providers in Lake Balboa, 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 Jan 23, 2026; 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.