Organization Active NPI

Family Healthcare Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Maywood, CA
National Provider Identifier
1881738987
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332B00000X Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME02745FMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.