Vast Medical Supply and Equipment

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VAST MEDICAL SUPPLY AND EQUIPMENT

Practice address

17050 Chatsworth St Ste 255
Granada Hills, CA 91344-7810

Phone

(626) 437-8251

NPI assigned

Jul 19, 2024

Organization subpart

No

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

Authorized official

Name

Hamlet Petrosian

Title

President

Phone

(626) 437-8251

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1679311922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 CHATSWORTH ST STE 255",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447810",
            "telephone_number": "626-437-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 CHATSWORTH ST STE 255",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447810",
            "telephone_number": "626-437-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAST MEDICAL SUPPLY AND EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "PETROSIAN",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-437-8251"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vida Mobile Clinic
• Villa Granada Assisted Living

• Home Health Agency in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.