Active NPI
Safar Mansoor
- Customized Equipment (DME)
- Los Angeles, CA
National Provider Identifier
1972545259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 102686
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930009733 | CA | DME Supplier - Medical Supply Company | 0547476475 | Practice locations: Los Angeles, CA |
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 |
|---|---|---|
| Feroz Medical Supplies | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.