Active NPI
Marine Chakhoyan
- Customized Equipment (DME)
- Rancho Cordova, CA
National Provider Identifier
1972701274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 6007450001
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6007450001 | CA | MD | Nursing Facility Supplies (DME) |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Durable Medical Equipment & Medical Supplies
- Rancho Cordova, CA
- NPI 1114367174
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.