Grant Otuzbiryan

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GRANT OTUZBIRYAN

Practice address

8530 Foothill Blvd
Suite # E
Sunland, CA 91040-1900

Phone

(818) 352-9880

Fax

(818) 352-9881

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Grant Otuzbiryan

Title

Owner

Phone

(818) 352-9880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUNLAND MEDICAL SUPPLY Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1710085162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 FOOTHILL BLVD",
            "address_2": "SUITE # E",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401900",
            "telephone_number": "818-352-9880",
            "fax_number": "818-352-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 FOOTHILL BLVD",
            "address_2": "SUITE # E",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401900",
            "telephone_number": "818-352-9880",
            "fax_number": "818-352-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT OTUZBIRYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "OTUZBIRYAN",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-352-9880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02721F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNLAND MEDICAL SUPPLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Sunland, CA
• Providers in Sunland, 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 May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.