SH Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

428542 Issued in CA

Legal business name

SH MEDICAL SUPPLY LLC

Practice address

4556 N 1St St
Fresno, CA 93726-2327

Phone

(818) 588-5715

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By 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

Anzhela Barsegyan

Title

President

Phone

(818) 522-5715

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sh Medical Supply LLC Other name

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1831558980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4556 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937262327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4556 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937262327",
            "telephone_number": "818-588-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "BARSEGYAN",
        "authorized_official_first_name": "ANZHELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-522-5715"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "428542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SUPPLY LLC",
            "identifier": "4556 N 1ST ST",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sh Medical Supply LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Fresno, CA
• Providers in Fresno, 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 Feb 17, 2016; 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.