NPIMap

Organization Active NPI

Palm Springs Medical Supplies Inc

  • Clinical Medical Laboratory
  • Reseda, CA
National Provider Identifier
1841523263
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D1102651 Issued in CA
Legal business name
PALM SPRINGS MEDICAL SUPPLIES INC
Practice address
19301 Saticoy St
Suite C-336
Reseda, CA 91335-2358
Phone
(818) 574-9960
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Evgeny Sazonov
Title
Ceo
Phone
(818) 574-9960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D1102651 CA Primary

Addresses

Primary practice location

19301 Saticoy St
Suite C-336
Reseda, CA 91335-2358

Mailing address

19301 Saticoy St
Suite C-336
Reseda, CA 91335-2358

National Provider Directory

National Provider Directory
Tax ID family
Palm Springs 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.

Locations

19301 Saticoy St
Ste C336
Reseda, CA 91335
Phone (818) 574-9960

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1841523263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 SATICOY ST",
            "address_2": "SUITE C-336",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 SATICOY ST",
            "address_2": "SUITE C-336",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352358",
            "telephone_number": "818-574-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRINGS MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "SAZONOV",
        "authorized_official_first_name": "EVGENY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-574-9960"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1102651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.