Individual provider Active NPI

Marine Chakhoyan

  • Customized Equipment (DME)
  • Rancho Cordova, CA
National Provider Identifier
1972701274
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
6007450001 Issued in CA
Practice address
2236 Rhoda Way
Rancho Cordova, CA 95670-2029
Phone
(916) 857-0817
Fax
(916) 857-0816
NPI assigned
Jul 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 6007450001 CA Primary
Nursing Facility Supplies (DME) 332BN1400X 6007450001 CA

Addresses

Primary practice location

2236 Rhoda Way
Rancho Cordova, CA 95670-2029

Mailing address

2236 Rhoda Way
Rancho Cordova, CA 95670-2029
Phone (916) 857-0817

Other names 1

  • Mrs. Marine Chakhoyan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6007450001CAMDNursing Facility Supplies (DME)

Practice roles

OrganizationSpecialtyStatusNew patients
Aabica Medical Inc Current Accepting new patients
Marine Chakhoyan Customized Equipment Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1972701274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 RHODA WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702029",
            "telephone_number": "916-857-0817",
            "fax_number": "916-857-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 RHODA WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702029",
            "telephone_number": "916-857-0817",
            "fax_number": "916-857-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKHOYAN",
        "first_name": "MARINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "6007450001",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "6007450001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINE",
            "last_name": "CHAKHOYAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.