MARCAR SHADAREVIAN


Address: 304-b N Verdugo Rd, Glendale, CA 91206
Phone: 8182445497

MARCAR SHADAREVIAN (NPI# 1790966760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790966760
Entity Type Individual
Full Name MARCAR SHADAREVIAN
Practice Address 304-b N Verdugo Rd
Glendale
CA 91206
Mailing Address 304b N Verdugo Rd
Glendale
CA 91206
Practice Telephone 8182445497
Practice Fax Number 8182442822
Mailing Telephone 8182445497
Mailing Fax Number 8182442822
Enumeration Date 2007-11-19
Last Update Date 2008-07-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA DME02448F 05

Office Location

Street Address 304-B N VERDUGO RD
City GLENDALE
State CA
Zip Code 91206

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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841805918 Rowan Clarke Durable Medical Equipment & Medical Supplies 7818 85th St, Glendale, NY 11385-7615 2020-09-15
1669081501 Thrify Payless Inc Durable Medical Equipment & Medical Supplies 100 W Broadway Ste 5516, Glendale, CA 91210-1202 2020-07-27
1093336984 Love LLC Durable Medical Equipment & Medical Supplies 1027 S Central Ave Ste 300, Glendale, CA 91204-3973 2020-05-01
1164051900 Stateserv Medical of Phoenix LLC Durable Medical Equipment & Medical Supplies 5234 W. Missouri, Glendale, AZ 85301 2020-04-03
1740827260 Trinity Barcing, Inc Durable Medical Equipment & Medical Supplies 7721 79th Place, Ground, Glendale, NY 11385-7537 2019-12-03
1932760535 Walgreen Co Durable Medical Equipment & Medical Supplies 1487 E Chevy Chase Dr, Glendale, CA 91206-4008 2019-06-25
1093207755 Km Medical Supplies Durable Medical Equipment & Medical Supplies 469 W Windsor Rd Apt 1, Glendale, CA 91204-1925 2018-05-30
1619470085 Kokopelli Eye Care PC Durable Medical Equipment & Medical Supplies 5140 W Peoria Ave Ste 116, Glendale, AZ 85302-1631 2018-03-13
1427556588 Joints In Motion Medical, LLC Durable Medical Equipment & Medical Supplies 525 W. Riverwoods Parkway #120, Glendale, WI 53212 2018-01-24
1962919449 Bhsm Rehabilitation, LLC Durable Medical Equipment & Medical Supplies 5605 W Eugie Ave Ste 206, Glendale, AZ 85304-1274 2018-01-05
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Competitor

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City GLENDALE
Zip Code 91206

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Dataset Information

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.

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