Organization Active NPI

West Coast Medical Equipment & Repair Inc

  • Durable Medical Equipment & Medical Supplies
  • Chatsworth, CA
National Provider Identifier
1992095988
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
55507 Issued in CA
Legal business name
WEST COAST MEDICAL EQUIPMENT & REPAIR INC
Practice address
9729 Lurline Ave
Chatsworth, CA 91311-4404
Phone
(818) 837-4330
Fax
(818) 837-4331
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Carlos S Ortega
Title
Ceo
Phone
(818) 837-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 55507 CA Primary

Addresses

Primary practice location

9729 Lurline Ave
Chatsworth, CA 91311-4404

Mailing address

9729 Lurline Ave
Chatsworth, CA 91311-4404
Phone (818) 837-4330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110531000344 CA DME Supplier - Medical Supply Company 6709063712 Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

9729 Lurline Ave
Chatsworth, CA 91311
Phone (818) 837-4330

8604 Wilbur Ave
Northridge, CA 91324
Phone (818) 837-4330

12843 Foothill Blvd
Ste D
Sylmar, CA 91342

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1992095988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9729 LURLINE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114404",
            "telephone_number": "818-837-4330",
            "fax_number": "818-837-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9729 LURLINE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114404",
            "telephone_number": "818-837-4330",
            "fax_number": "818-837-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST MEDICAL EQUIPMENT & REPAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-837-4330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "55507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.