Smart DME and Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SMART DME AND SUPPLIES, INC

Doing business as

Smart Medical Supplies

Practice address

18701 Parthenia St Ste 3
Northridge, CA 91324-3814

Phone

(818) 324-0019

Fax

(818) 772-9685

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 2009By 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

Mr. Amanteflor Percival Villanueva

Title

President/Ceo

Phone

(818) 324-0019

Specialties & licenses 1

Addresses

Other names 1

• SMART MEDICAL SUPPLIES Doing business as

Locations

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1811131816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 PARTHENIA ST STE 3",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243814",
            "telephone_number": "818-324-0019",
            "fax_number": "818-772-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 PARTHENIA ST STE 3",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243814",
            "telephone_number": "818-324-0019",
            "fax_number": "818-772-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DME AND SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "AMANTEFLOR",
        "authorized_official_middle_name": "PERCIVAL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-324-0019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Northridge, CA
• Providers in Northridge, 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 22, 2009; 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.