Burbank Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

53069 Issued in CA

Legal business name

BURBANK MEDICAL SUPPLY, INC.

Practice address

4302 W Victory Blvd
Burbank, CA 91505-1334

Phone

(818) 845-2884

Fax

(818) 845-3177

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Pourang Nassi

Title

President

Phone

(818) 845-2884

Specialties & licenses 1

Addresses

Other identifiers 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

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1851391965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051334",
            "telephone_number": "818-845-2884",
            "fax_number": "818-845-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051334",
            "telephone_number": "818-845-2884",
            "fax_number": "818-845-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "NASSI",
        "authorized_official_first_name": "POURANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-845-2884"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "53069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02518F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burbank Hospice Care, Inc.
• Burbank Hospice, Inc.
• Burbank Imaging and Open MRI Inc
• Burbank Laboratory Inc
• Burbank Medical Products, Inc.
• Burbank Occupational Health Center Inc (Burbank Urgent Care)
• Burbank Open MRI Corp
• Burbank Optometric Center, Inc
• Burbank Outpatient Surgery Center
• Burbank Pathway Villa

• Durable Medical Equipment & Medical Supplies in Burbank, CA
• Providers in Burbank, 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, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.