Sherman Oaks Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHERMAN OAKS MEDICAL SUPPLIES, INC

Practice address

14120 Magnolia Blvd Ste a
Sherman Oaks, CA 91423-1257

Phone

(818) 981-9906

Fax

(818) 981-6698

NPI assigned

Nov 1, 2006

Last updated

Jan 8, 2024By 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. Jack Kell

Title

President

Phone

(818) 981-9906

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sherman Oaks Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pacoima, CA
  • NPI 1215377783

  4082725486

  Same PAC ID

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

Tax ID family

Sherman Oaks Medical Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sherman Oaks Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pacoima, CA
  • NPI 1215377783
  NPD tax ID

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1841377645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 MAGNOLIA BLVD STE A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231257",
            "telephone_number": "818-981-9906",
            "fax_number": "818-981-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 MAGNOLIA BLVD STE A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231257",
            "telephone_number": "818-981-9906",
            "fax_number": "818-981-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN OAKS MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "KELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-981-9906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02409G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherman Oaks Emergency Medical Associates, Inc.
• Sherman Oaks Family Medicine Inc
• Sherman Oaks Integrated Medical Group, Inc. (Health Atlast Sherman Oaks)
• Sherman Oaks Medical Associates a Prof Corp
• Sherman Oaks Medical GRP Inc
• Sherman Oaks Mental Health Group
• Sherman Oaks Mental Health Group
• Sherman Oaks Mental Health Group GP
• Sherman Oaks Pain and Spine Institute Inc
• Sherman Oaks Pain Center

• Durable Medical Equipment & Medical Supplies in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 8, 2024; 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.