Med1Specialties, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103448 Issued in CA

Legal business name

MED1SPECIALTIES, INC.

Practice address

16022 Arminta Street
Suite 4
Van Nuys, CA 91406

Phone

(818) 988-6290

Fax

(818) 988-6271

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Anthony Rosca Antonino

Title

Pesident/Ceo

Phone

(818) 988-6290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1780861187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16022 ARMINTA STREET",
            "address_2": "SUITE 4",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-988-6290",
            "fax_number": "818-988-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16022 ARMINTA STREET",
            "address_2": "SUITE 4",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-988-6290",
            "fax_number": "818-988-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED1SPECIALTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "ANTONINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ROSCA",
        "authorized_official_title_or_position": "PESIDENT/CEO",
        "authorized_official_telephone_number": "818-988-6290"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Van Nuys, CA
• Providers in Van Nuys, 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 Jan 28, 2008; 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.