SIGNATURE MEDICAL SUPPLY (NPI# 1407472475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407472475 |
| Entity Type | Organization |
| Organization Name | SIGNATURE MEDICAL SUPPLY |
| Practice Address |
20847 Sherman Way # 102 Winnetka CA 91306-2706 |
| Mailing Address |
20847 Sherman Way # 120 Winnetka CA 91306-2706 |
| Practice Telephone | 8182068600 |
| Practice Fax Number | 8183777551 |
| Mailing Telephone | 8182068600 |
| Mailing Fax Number | 8183777551 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | MARINE AGHABALYAN (CEO) |
| Authorized Official Telephone | 8182068600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
20847 SHERMAN WAY # 102 |
| City | WINNETKA |
| State | CA |
| Zip Code | 91306-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
| 1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
| 1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
| 1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
| 1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
| 1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
| 1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
| 1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
| 1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
| 1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
| Find all providers in zip 91306 | ||||
| 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 |
|---|---|---|---|---|
| 1689977001 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 19701 Vanowen St, Winnetka, CA 91306-3927 | 2010-12-07 |
| 1083927750 | Annex Pharmacy and Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 20177 Saticoy St, Winnetka, CA 91306-2506 | 2010-07-22 |
| 1124199070 | Las Pride Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 20508 Sherman Way, Suite A, Winnetka, CA 91306-3428 | 2006-11-13 |
| 1972518199 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 925 Green Bay Rd, Winnetka, IL 60093-1760 | 2006-07-29 |
| 1669416939 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 20839 W. Roscoe Blvd, Winnetka, CA 91306-2001 | 2006-06-16 |
| 1629051461 | Laws Medical Distributors Inc | Durable Medical Equipment & Medical Supplies | 20832 Roscoe Blvd, Ste 108, Winnetka, CA 91306-2057 | 2005-11-25 |
| 1811395999 | Orthocare Supply | Durable Medical Equipment & Medical Supplies | 7111 Winnetka Ave, Suite 11, Winnetka, CA 91306-3672 | 2014-12-05 |
| 1679730410 | Doyle Opticians Ltd. | Durable Medical Equipment & Medical Supplies | 565 Chestnut St, Winnetka, IL 60093-2201 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316192 | Ramon D Riego Jr. | Durable Medical Equipment & Medical Supplies | 12371 Lewis St Ste 202, Garden Grove, CA 92840-4688 | 2020-11-04 |
| 1447851001 | Christy Ann Packard | Durable Medical Equipment & Medical Supplies | 11130 Linda Dr, Auburn, CA 95602-9232 | 2020-11-02 |
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1023618709 | S & K Dme LLC | Durable Medical Equipment & Medical Supplies | 9910 Irvine Center Dr Bldg 7, Irvine, CA 92618-4357 | 2020-10-30 |
| 1942800800 | Ade Medical and Equipments Suppliers, LLC | Durable Medical Equipment & Medical Supplies | 14205 Inglewood Ave, Hawthorne, CA 90250-6729 | 2020-10-29 |
| 1689274755 | Genesis Hcp of Orange County | Durable Medical Equipment & Medical Supplies | 11552 Knott St # C11, Garden Grove, CA 92841-1824 | 2020-10-28 |
| 1376143479 | Impakt Medical, LLC | Durable Medical Equipment & Medical Supplies | 14125 Capri Dr Ste 8, Los Gatos, CA 95032-1516 | 2020-10-28 |
| 1811596901 | Kd Medical Inc | Durable Medical Equipment & Medical Supplies | 4565 Monaco Ct, Orcutt, CA 93455-4073 | 2020-10-20 |
| 1710585161 | Interlang LLC Dba Montgomery Dme | Durable Medical Equipment & Medical Supplies | 14109 Pontlavoy Ave, Santa Fe Spgs, CA 90670-4934 | 2020-10-16 |
| 1700484219 | Oa Medicals LLC | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave Ste 203, Los Angeles, CA 90047-3057 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
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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.