Active NPI
Guardian DME LLC
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1902613284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Guardian DME LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250611001795 | NV | DME Supplier - Medical Supply Company | 7012427784 | Practice locations: Las Vegas, NV |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Guardian DME | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.