Organization Active NPI

Safar Mansoor

  • Customized Equipment (DME)
  • Los Angeles, CA
National Provider Identifier
1972545259
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
102686 Issued in CA
Legal business name
SAFAR MANSOOR
Practice address
3655 E 3Rd St
Los Angeles, CA 90063-2441
Phone
(323) 263-3804
Fax
(323) 263-3875
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Mr. Safar A Mansoor
Title
Owner
Phone
(323) 263-3804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 102686 CA Primary

Addresses

Primary practice location

3655 E 3Rd St
Los Angeles, CA 90063-2441

Mailing address

3655 E 3Rd St
Los Angeles, CA 90063-2441
Phone (323) 263-3804

Other names 1

  • Feroz Medical Supplies Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930009733 CA DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 0547476475 Practice locations: Los Angeles, CA

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
Feroz Medical Supplies3655 E 3Rd St, Los Angeles, CA 90063-2441(323) 263-3804 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Infrared Heating Pads Systems and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessori… Does not accept assignmentParticipating since Aug 20, 2003

National Provider Directory

National Provider Directory

Locations

3655 E 3rd St
Los Angeles, CA 90063
Phone (323) 263-3804

3030 W Temple St
Ste 102
Los Angeles, CA 90026
Phone (213) 480-3072

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1972545259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 E 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632441",
            "telephone_number": "323-263-3804",
            "fax_number": "323-263-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632441",
            "telephone_number": "323-263-3804",
            "fax_number": "323-263-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFAR MANSOOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "SAFAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-263-3804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "102686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feroz Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.