Organization Active NPI

Marsmedical Supply

  • Durable Medical Equipment & Medical Supplies
  • Burbank, CA
National Provider Identifier
1912936626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARSMEDICAL SUPPLY
Practice address
2913 N Glenoaks Blvd
Burbank, CA 91504-2606
Phone
(818) 563-1013
Fax
(818) 563-2013
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Movses Mantizyan
Title
President
Phone
(818) 563-1013

Specialties & licenses 1

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

Addresses

Primary practice location

2913 N Glenoaks Blvd
Burbank, CA 91504-2606

Mailing address

2913 N Glenoaks Blvd
Burbank, CA 91504-2606
Phone (818) 563-1013

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912936626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 N GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042606",
            "telephone_number": "818-563-1013",
            "fax_number": "818-563-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 N GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042606",
            "telephone_number": "818-563-1013",
            "fax_number": "818-563-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSMEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANTIZYAN",
        "authorized_official_first_name": "MOVSES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-563-1013"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.