Organization Active NPI

Gamburd Inc

  • Durable Medical Equipment & Medical Supplies
  • Pacoima, CA
National Provider Identifier
1891758264
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
49347 Issued in CA
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

Updated by the provider on Dec 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME03241FMedicaidCA

Other names 1

  • American Medical Supply Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.