Active NPI
Gamburd Inc
- Durable Medical Equipment & Medical Supplies
- Pacoima, CA
National Provider Identifier
1891758264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 49347
- Legal business name
- GAMBURD INC
- Practice address
- 12420 Montague St
Suite D
Pacoima, CA 91331-2141 - Phone
- (818) 834-2792
- Fax
- (323) 417-3700
- NPI assigned
- Apr 7, 2006
- 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. Israel Gamburd
- Title
- President
- Phone
- (818) 834-2792
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 49347 | CA | Primary |
Addresses
Primary practice location
12420 Montague St
Suite D
Pacoima, CA 91331-2141
Mailing address
12420 Montague St
Suite D
Pacoima, CA 91331-2141
Phone (818) 834-2792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME03241F | Medicaid | CA |
Other names 1
- American Medical Supply
National Provider Directory
National Provider DirectoryLocations
12420 Montague St
Ste D
Pacoima, CA 91331
Phone (818) 834-2792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1891758264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12420 MONTAGUE ST",
"address_2": "SUITE D",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913312141",
"telephone_number": "818-834-2792",
"fax_number": "323-417-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12420 MONTAGUE ST",
"address_2": "SUITE D",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913312141",
"telephone_number": "818-834-2792",
"fax_number": "323-417-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMBURD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "GAMBURD",
"authorized_official_first_name": "ISRAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-834-2792",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "49347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME03241F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "American Medical Supply",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.