Complete Care Medical Supply Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

COMPLETE CARE MEDICAL SUPPLY INC.

Practice address

16756 Ventura Blvd
Encino, CA 91436-1702

Phone

(818) 986-9833

Fax

(818) 986-9834

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Faramarz Saghizadeh

Title

Manager

Phone

(818) 986-9833

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1811907850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16756 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361702",
            "telephone_number": "818-986-9833",
            "fax_number": "818-986-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16756 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361702",
            "telephone_number": "818-986-9833",
            "fax_number": "818-986-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SAGHIZADEH",
        "authorized_official_first_name": "FARAMARZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-986-9833"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02279G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Encino, CA
• Providers in Encino, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.