Organization Active NPI

Amd Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Sacramento, CA
National Provider Identifier
1902103286
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
348977 Issued in CA
Legal business name
AMD MEDICAL SUPPLY, INC.
Practice address
3108 Arden Way
Sacramento, CA 95825-2002
Phone
(916) 485-2500
Fax
(916) 515-9191
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dmitriy MarkivNPI 1295015089
Title
President
Phone
(916) 485-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 348977 CA Primary

Addresses

Primary practice location

3108 Arden Way
Sacramento, CA 95825-2002

Mailing address

3108 Arden Way
Sacramento, CA 95825-2002
Phone (916) 485-2500

National Provider Directory

National Provider Directory

Locations

3108 Arden Way
Sacramento, CA 95825
Phone (916) 485-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1902103286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252002",
            "telephone_number": "916-485-2500",
            "fax_number": "916-515-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252002",
            "telephone_number": "916-485-2500",
            "fax_number": "916-515-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "MARKIV",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-485-2500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "348977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.