Organization Active NPI

Guardian DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1902613284
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GUARDIAN DME LLC
Doing business as
Guardian DME
Practice address
1750 S Rainbow Blvd Ste 20
Las Vegas, NV 89146-2951
Phone
(702) 258-0593
Fax
(702) 447-9276
NPI assigned
Dec 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Gevorg Khachoyan
Title
Managing Member
Phone
(702) 728-0019

Specialties & licenses 1

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

Addresses

Primary practice location

1750 S Rainbow Blvd Ste 20
Las Vegas, NV 89146-2951

Mailing address

1750 S Rainbow Blvd Ste 20
Las Vegas, NV 89146-2951
Phone (702) 258-0593

Other names 2

  • Guardian DME Doing business as
  • Guardian DME LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250611001795 NV DME Supplier - Medical Supply CompanyDME Supplier - Sports MedicineDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Department Store 7012427784 Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Guardian DME1750 S Rainbow Blvd, Las Vegas, NV 89146-2951(702) 258-0593 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Ac… Does not accept assignmentParticipating since May 2, 2025

National Provider Directory

National Provider Directory

Locations

1750 S Rainbow Blvd
Ste 20
Las Vegas, NV 89146
Phone (702) 258-0593

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1902613284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S RAINBOW BLVD STE 20",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462951",
            "telephone_number": "702-258-0593",
            "fax_number": "702-447-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S RAINBOW BLVD STE 20",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462951",
            "telephone_number": "702-258-0593",
            "fax_number": "702-447-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KHACHOYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-728-0019"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian DME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian DME LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.