Active NPI
Family Healthcare Medical Supply
- Durable Medical Equipment & Medical Supplies
- Maywood, CA
National Provider Identifier
1881738987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 332B00000X
- Legal business name
- FAMILY HEALTHCARE MEDICAL SUPPLY
- Practice address
- 3820 E. Slauson Ave Ste C
Maywood, CA 90270-4750 - Phone
- (323) 582-2336
- Fax
- (323) 582-2045
- NPI assigned
- Feb 20, 2007
- Last updated
- Feb 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Garegin Kampuryan
- Title
- Owner
- Phone
- (323) 582-2045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 332B00000X | CA | Primary |
Addresses
Primary practice location
3820 E. Slauson Ave Ste C
Maywood, CA 90270-4750
Mailing address
3820 E. Slauson Ave Ste C
Maywood, CA 90270-4750
Phone (323) 582-2336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02745F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
3820 Slauson Ave
Ste C
Maywood, CA 90270
Phone (323) 582-2336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1881738987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 E. SLAUSON AVE STE C",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902704750",
"telephone_number": "323-582-2336",
"fax_number": "323-582-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 E. SLAUSON AVE STE C",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902704750",
"telephone_number": "323-582-2336",
"fax_number": "323-582-2045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHCARE MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "KAMPURYAN",
"authorized_official_first_name": "GAREGIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-582-2045",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "332B00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME02745F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.