Active NPI
Odessa Medical Supply Inc.
- Durable Medical Equipment & Medical Supplies
- Van Nuys, CA
National Provider Identifier
1689335523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ODESSA MEDICAL SUPPLY INC.
- Practice address
- 14747 Keswick St
Van Nuys, CA 91405-1206 - Phone
- (818) 426-4815
- NPI assigned
- Jan 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariet Torosian
- Title
- Ceo
- Phone
- (818) 426-4815
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
14747 Keswick St
Van Nuys, CA 91405-1206
Mailing address
14747 Keswick St
Van Nuys, CA 91405-1206
Phone (818) 426-4815
National Provider Directory
National Provider DirectoryLocations
14747 Keswick St
Van Nuys, CA 91405
Phone (818) 426-4815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641168000000",
"number": "1689335523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14747 KESWICK ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051206",
"telephone_number": "818-426-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14747 KESWICK ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051206",
"telephone_number": "818-426-4815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODESSA MEDICAL SUPPLY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A",
"authorized_official_last_name": "TOROSIAN",
"authorized_official_first_name": "MARIET",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-426-4815"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.