Organization Active NPI

A2Z Medical Supply Depot, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Simi Valley, CA
National Provider Identifier
1952534273
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
A2Z MEDICAL SUPPLY DEPOT, INC.
Practice address
3907 Cochran St
Suite C
Simi Valley, CA 93063-2370
Phone
(805) 582-1022
Fax
(805) 582-2285
NPI assigned
Sep 3, 2009
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Emma Kazarian
Title
President
Phone
(805) 582-1022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

3907 Cochran St
Suite C
Simi Valley, CA 93063-2370

Mailing address

3907 Cochran St
Suite C
Simi Valley, CA 93063-2370
Phone (805) 582-1022

Other identifiers 1

IdentifierTypeStateIssuer
1952534273MedicaidCA

National Provider Directory

National Provider Directory

Locations

3907 Cochran St
Ste C
Simi Valley, CA 93063
Phone (805) 582-1022

4811 E Los Angeles Ave
Simi Valley, CA 93063
Phone (805) 582-1022

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1952534273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 COCHRAN ST",
            "address_2": "SUITE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632370",
            "telephone_number": "805-582-1022",
            "fax_number": "805-582-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 COCHRAN ST",
            "address_2": "SUITE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632370",
            "telephone_number": "805-582-1022",
            "fax_number": "805-582-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A2Z MEDICAL SUPPLY DEPOT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "KAZARIAN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-582-1022"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952534273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.