STAT HOMEHEALTH MEDICAL SUPPLY, LLC. (NPI# 1295926640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295926640 |
| Entity Type | Organization |
| Organization Name | STAT HOMEHEALTH MEDICAL SUPPLY, LLC. |
| Other Organization Name | STAT HOMEHEALTH SUPPLIES |
| Practice Address |
11411 Brookshire Ave Suite 505 Downey CA 90241-5003 |
| Practice Telephone | 5626221002 |
| Practice Fax Number | 5626221058 |
| Mailing Telephone | 5626221002 |
| Mailing Fax Number | 5626221058 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Authorized Official Name | MR. NIKO OGANESIAN (PRESIDENT) |
| Authorized Official Telephone | 5626221002 |
| Authorized Official Credential | RCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 47463 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPT. OF PUBLIC HEALTH | 47463 | 01 |
| Other Name | Type Code |
|---|---|
| STAT Homehealth Supplies | Doing Business As Name - Organization |
| Street Address |
11411 BROOKSHIRE AVE SUITE 505 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797381 | Ragaa Z Iskarous Md Inc | General Practice | 11411 Brookshire Ave, #201, Downey, CA 90241 | 2006-02-02 |
| 1346646619 | Vascular Access Center of South Los Angeles LLC | Surgery | 11411 Brookshire Ave, Suite 301, Downey, CA 90241-5026 | 2014-11-13 |
| 1326441817 | Shoshana Polevoy | Nurse Practitioner | 11411 Brookshire Ave, Suite 508, Downey, CA 90241-5026 | 2014-09-29 |
| 1750702270 | John Tilley | Pharmacist | 11411 Brookshire Ave, Suite #107, Downey, CA 90241-5026 | 2013-12-31 |
| 1225386915 | United Sleep Centers | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2012-08-28 |
| 1578811279 | Miracle Sleep Centers | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2012-08-28 |
| 1417240714 | Andrew D Rah, A California Medical Corp | Legal Medicine | 11411 Brookshire Ave, Suite 201, Downey, CA 90241-5026 | 2011-05-18 |
| 1821397670 | Omar & Yusuf Dental Corp | Dentist | 11411 Brookshire Ave, Suite 405, Downey, CA 90241-5026 | 2011-03-18 |
| 1508183872 | Stat Sleep Center | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2010-04-27 |
| 1487985818 | Drmc-western Osteopathic Center for Well-being | Neuromusculoskeletal Medicine & OMM | 11411 Brookshire Ave, Suite #304, Downey, CA 90241-5026 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275992463 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 9001 Apollo Way, Downey, CA 90242-4033 | 2016-02-16 |
| 1063762508 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 12270 Paramount Blvd, Downey, CA 90242-3549 | 2012-09-12 |
| 1689920035 | Academy Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 7700 Imperial Hwy Unit B1, Downey, CA 90242-3469 | 2012-08-02 |
| 1497043749 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8030 Imperial Hwy, Downey, CA 90242-3714 | 2011-07-20 |
| 1073746467 | Evelin L Bernal | Durable Medical Equipment & Medical Supplies | 12053 Paramount Blvd, Downey, CA 90242-2337 | 2009-09-01 |
| 1881829083 | Monica Velasquez | Durable Medical Equipment & Medical Supplies | 10440 Paramount Blvd Apt G269, Downey, CA 90241-2345 | 2009-05-18 |
| 1548494693 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 9018 Firestone Blvd, Downey, CA 90241-5318 | 2009-05-05 |
| 1740432194 | Magnolia Care Medical Supply | Durable Medical Equipment & Medical Supplies | 8730 Imperial Hwy, Downey, CA 90242-3906 | 2008-10-16 |
| 1093849044 | Sunny Day Medical Supply | Durable Medical Equipment & Medical Supplies | 8032 Imperial Hwy # 4, Downey, CA 90242-3714 | 2007-03-14 |
| 1205900172 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 7700 Imperial Hwy Ste E2, Downey, CA 90242-3466 | 2006-11-20 |
| Find all providers in DOWNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.