Medix Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDIX SUPPLIES, INC.

Practice address

5301 Laurel Canyon Blvd Ste 136
Valley Village, CA 91607-2778

Phone

(818) 824-3222

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Raisa Aytayan

Title

Ceo

Phone

(818) 824-3222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1639877582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 136",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072778",
            "telephone_number": "818-824-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 136",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072778",
            "telephone_number": "818-824-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "AYTAYAN",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-824-3222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markita Darlene McGee, LVN
• Gabriel Daniel McGrade
• Daniel McKinney
• Med-HH18 Inc.
• Erica Medine, M.S
• Andrew Megerdechian
• Hambartsoum Mekharian
• Hegine H Mekteryan
• Melanie Marshall, D.D.S., Inc.
• Melina B. Jampolis MD a Proffessional Corporation

• Durable Medical Equipment & Medical Supplies in Valley Village, CA
• Providers in Valley Village, 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 Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.