Astgik Soghomonian

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100201 Issued in CA

Legal business name

ASTGIK SOGHOMONIAN

Doing business as

Sanger Medical Supplies

Practice address

1348 7TH St
Sanger, CA 93657-2419

Phone

(559) 876-2551

Fax

(559) 876-1911

NPI assigned

Oct 25, 2006

Last updated

Nov 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Astgik SoghomonianNPI 1871430553

Title

Owner

Phone

(559) 876-2551

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Sanger Medical Supplies Doing business as

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Astgik Soghomonian

  • Durable Medical Equipment & Medical Supplies
  • Sanger, CA
  • NPI 1871430553
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1790860385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 7TH STREET",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572419",
            "telephone_number": "559-876-2551",
            "fax_number": "559-876-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 7TH ST",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572419",
            "telephone_number": "559-876-2551",
            "fax_number": "559-876-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTGIK SOGHOMONIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "SOGHOMONIAN",
        "authorized_official_first_name": "ASTGIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-876-2551"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100201",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02265F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanger Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanger Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Sanger, CA
• Providers in Sanger, 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 Nov 17, 2021; 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.