Fundamental Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FUNDAMENTAL MEDICAL SUPPLY INC

Practice address

7325 Reseda Blvd
Reseda, CA 91335-3048

Phone

(805) 230-2220

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Grigory Atkozyan

Title

Ceo

Phone

(805) 230-2220

Specialties & licenses 4

Addresses

Tax ID family

Fundamental Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fundamental Medical Supply Inc

  • Prosthetic/Orthotic Supplier
  • Reseda, CA
  • NPI 1598068512
  NPD tax ID

Locations

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1740086198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354210",
            "telephone_number": "805-230-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353048",
            "telephone_number": "805-230-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "ATKOZYAN",
        "authorized_official_first_name": "GRIGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-230-2220"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Frausto Jr.
• Mariah Frias
• Jerome R Friedland, M.D.
• From the Heart Physical Therapy,Inc.
• Fundamental Medical Supply Inc
• G&a Boarding Care
• Armen Galustian
• Jaleh Jasmin Gandjeh, RDHAP
• Marielle Hanna Valdez Garalza
• Jennifer Garcia-Juarez

• Durable Medical Equipment & Medical Supplies in Reseda, CA
• Providers in Reseda, 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 Apr 17, 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.