FUNDAMENTAL MEDICAL SUPPLY INC
NPI 1598068512
Prosthetic/Orthotic Supplier in Reseda, CA

Active since December 14, 2010
7114 RESEDA BLVD, RESEDA, CA 91335(805) 230-2220(805) 230-2229 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Jul 10, 2024, Mar 15, 2020 (3 updates tracked since 2020).

About Fundamental Medical Supply Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNDAMENTAL MEDICAL SUPPLY INC (NPI 1598068512) is a healthcare organization registered as a prosthetic/orthotic supplier in Reseda, California and active in the NPI registry since December 2010. The organization lists Grigory Atkozyan, President, as its authorized official.

NPPES Registry Identity

NPI1598068512
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameFUNDAMENTAL MEDICAL SUPPLY INC
Location Address7114 RESEDA BLVDReseda, CA 91335-4210
Mailing Address7114 Reseda BlvdReseda, CA 91335-4210 · (805) 230-2220 · Fax (805) 230-2229
Fax(805) 230-2229
Organization SubpartNo
Authorized OfficialGrigory AtkozyanPresident · (805) 230-2220
Enumeration DateDecember 14, 2010
Last NPPES UpdateApril 17, 20263 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1598068512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in CA · 54837
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 54837 (CA)
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 54837 (CA)
7114 RESEDA BLVD, Reseda, CA 91335

Other Identifiers 1

Medicaid1598068512CA

Medical Equipment Supplier Medicare DMEPOS 56

Medicare supplier enrollment and the product categories Fundamental Medical Supply Inc carries, from the Medicare DMEPOS supplier directory.

Fundamental Medical Supply Inc

DMEPOS supplier · Reseda, CA

Accepts Medicare assignment

Fundamental Medical Supply Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20526527
Medicare Participant SinceNovember 9, 2011
Supplier Location7114 Reseda BlvdReseda, CA 91335
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Continuous Passive Motion (CPM) Devices
Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
Contracture Treatment Devices: Dynamic Splint
Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Gastric Suction Pumps
Portable suction pumps, Stationary suction pumps, Canisters
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fundamental Medical Supply Inc's NPI number?

The NPI number for Fundamental Medical Supply Inc is 1598068512. It was assigned to this organization in the NPPES registry on December 14, 2010.

Where is Fundamental Medical Supply Inc located?

Fundamental Medical Supply Inc is located at 7114 Reseda Blvd, Reseda, CA 91335. The listed phone number is (805) 230-2220.

What is Fundamental Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Fundamental Medical Supply Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fundamental Medical Supply Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Fundamental Medical Supply Inc was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.