Fundamental Medical Supply Inc
Prosthetic/orthotic Supplier
7114 Reseda Blvd, Reseda
California, 91335-4210
805-230-2220 805-230-2229
Fundamental Medical Supply Inc is a Prosthetic/orthotic Supplier in Reseda, California. It is located at 7114 Reseda Blvd, Reseda and it's customer support contact number is 805-230-2220. The authorized person of Fundamental Medical Supply Inc is Mr. Grigory Atkozyan who is President of this DME and his contact number is 805-230-2220. Active license number of Fundamental Medical Supply Inc is 54837 for Prosthetic/orthotic Supplier in California. Fundamental Medical Supply Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fundamental Medical Supply Inc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
DME Supplier Details:
Fundamental Medical Supply Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Fundamental Medical Supply Inc |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 7114 Reseda Blvd, Reseda,
California, 91335-4210 |
| Phone: | 805-230-2220 |
| Fax: | 805-230-2229 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Grigory Atkozyan |
| Position: | President |
| Contact Number: | 805-230-2220 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1598068512 |
| NPI Enumeration Date: | 14 Dec, 2010 |
| NPI Last Update On: | 10 Jul, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fundamental Medical Supply Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | 54837 | California | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Parenteral & Enteral Nutrition | 54837 | California | Secondary | |
| Oxygen Equipment & Supplies | 54837 | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1598068512 | Medicaid | California | |
Medicare Enrollment:
Fundamental Medical Supply Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4688840622 | O20111222000156 | Fundamental Medical Supply Inc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Fundamental Medical Supply Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Breast Prostheses & Accessories | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Continuous Passive Motion (cpm) Devices |
| • Cpap, Rads, & Related Supplies & Accessories | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Dynamic Splints |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Gastric Suction Pumps | • Heat & Cold Applications |
| • Hospital Beds: Electric | • Hospital Beds: Manual |
| • Infrared Heating Pad Systems | • Infusion Pumps & Supplies: External Infusion |
| • Infusion Pumps & Supplies: Implanted Infusion | • Infusion Pumps & Supplies: Insulin Infusion |
| • Intermittent Positive Pressure Breathing (ippb) Devices | • Nebulizer Equipment & Supplies |
| • Negative Pressure Wound Therapy Pumps & Supplies | • Neuromuscular Electrical Stimulators (nmes) |
| • Neurostimulators | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Ostomy Supplies | • Oxygen Equipment & Supplies |
| • Parenteral Equipment And/or Supplies | • Parenteral Nutrients |
| • Patient Lifts | • Pneumatic Compression Devices |
| • Power Operated Vehicles (scooters) | • Respiratory Suction Pumps |
| • Seat Lift Mechanisms | • Speech Generating Devices |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Surgical Dressings |
| • Tracheostomy Supplies | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Complex Rehabilitative Manual | • Wheelchairs & Accessories: Complex Rehabilitative Power |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7114 Reseda Blvd,
Reseda, California |
| Zip: | 91335-4210 |
| Phone Number: | 805-230-2220 |
| Fax Number: | 805-230-2229 |
Patients can reach Fundamental Medical Supply Inc at
7114 Reseda Blvd, Reseda, California or can
call on customer care at 805-230-2220.
Comments/ Reviews:
Read all the reviews posted for Fundamental Medical Supply Inc below. You may also share your own experience with Fundamental Medical Supply Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.