NELLY MANTIZIAN (NPI# 1528087699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528087699 |
| Entity Type | Individual |
| Full Name | NELLY MANTIZIAN |
| Practice Address |
2717 W Avenue L Lancaster CA 93536-4057 |
| Practice Telephone | 6619438270 |
| Practice Fax Number | 6619438396 |
| Mailing Telephone | 6619438270 |
| Mailing Fax Number | 6619438396 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | CA | Suppliers |
| Street Address |
2717 W AVENUE L |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| 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 |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1659925998 | Alcam Medical Inc | Durable Medical Equipment & Medical Supplies | 44439 17th St W Ste 103, Lancaster, CA 93534-2854 | 2019-07-25 |
| 1437618451 | Lancaster Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1221 Hwy 61, Lancaster, WI 53813-9404 | 2019-03-19 |
| 1063993855 | So Lighthouse LLC | Durable Medical Equipment & Medical Supplies | 43118 Sugar St, Lancaster, CA 93536-6700 | 2018-08-28 |
| 1821579236 | Center for Interventional Pain & Spine, LLC | Durable Medical Equipment & Medical Supplies | 160 N Pointe Blvd Ste 208, Lancaster, PA 17601-4134 | 2018-08-23 |
| 1154833069 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1589 Fruitville Pike, Lancaster, PA 17601-4005 | 2017-11-01 |
| 1235661760 | Global Orthopedics Instruments Inc | Durable Medical Equipment & Medical Supplies | 2709 Pioneer Ln, Lancaster, TX 75146-1940 | 2017-04-03 |
| 1275994550 | Hidden Jewel Healthcare Resoure Service | Durable Medical Equipment & Medical Supplies | 1305 Kentucky Ave, Lancaster, TX 75134-1688 | 2016-03-14 |
| 1942603741 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 350 N Bluegrove Rd, Lancaster, TX 75146-2901 | 2014-10-07 |
| 1639516974 | Coif - Soe | Durable Medical Equipment & Medical Supplies | 2700 W Pleasant Run Rd # W250, Lancaster, TX 75146-1079 | 2013-05-28 |
| Find all providers in LANCASTER | ||||
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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.