Organization Active NPI

Primo Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Encino, CA
National Provider Identifier
1982761201
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIMO MEDICAL SUPPLIES
Practice address
17337 Ventura Blvd
Suite 220
Encino, CA 91316-3903
Phone
(818) 909-3790
Fax
(818) 768-7711
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Faisal Bahnassi
Title
Owner
Phone
(818) 232-1465

Specialties & licenses 1

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

Addresses

Primary practice location

17337 Ventura Blvd
Suite 220
Encino, CA 91316-3903

Mailing address

17337 Ventura Blvd
Suite 220
Encino, CA 91316-3903
Phone (818) 909-3790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1982761201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD",
            "address_2": "SUITE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163903",
            "telephone_number": "818-909-3790",
            "fax_number": "818-768-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD",
            "address_2": "SUITE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163903",
            "telephone_number": "818-909-3790",
            "fax_number": "818-768-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "BAHNASSI",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-232-1465"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.