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

Q: 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.

Q: What is Fundamental Medical Supply Inc's specialty?

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

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: November 01, 2026.

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

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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

Phone(805) 230-2220

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

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Other Identifiers 1

Medicaid1598068512CA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fundamental Medical Supply Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20111222000156DME · Medical Supply CompanyDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Infrared Heating Pads Systems and/or Supplies

Infrared Heating Pad Systems, Replacement Pads

External Infusion Pumps and/or Supplies

An infusion pump is necessary to safely administer the drug

Insulin Infusion Pumps and/or Supplies

Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets

Negative Pressure Wound Therapy Pumps/Supplies

Wound care sets, Pumps, Canisters

Neuromuscular Elect Stimulators (NMES)/Supplies

Electrodes, lead wires, adhesive tape

Osteogenesis Stimulators

Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators

Pneumatic Compression Devices and/or Supplies

Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Traction Equipment

Traction tables, Traction machines, Inversion tables

(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies

Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchairs (Complex Rehabilitative Manual)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehab Manual Rel Accessories)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehabilitative Power)

Complex rehabilitative power wheelchairs

Wheelchairs (Complex Rehab Power Rel Accessories)

Complex rehabilitative power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Penile Pumps

Breast Prostheses and/or Accessories

Prosthetic bra, Surgical bra

Neurostimulators and/or Supplies

Rechargable neurostimulators, Non-rechargable neurostimulators

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Somatic Prostheses

Finger prosthesis, Hand prosthesis, Toe prosthesis

Tracheotomy Supplies

Tracheostomy care kits

Urological Supplies

Catheters, Urinary collection devices

Enteral Nutrients

Enteral formula

Enteral Equipment and/or Supplies

Enteral infusion pumps, enteral nutrition supply kits

Parenteral Equipment and/or Supplies

Parenteral infusion pumps, parenteral nutrition supply kits

Limb Prostheses

Prosthetic arms, Prosthetic feet, Prosthetic knees

Continuous Positive Airway Pressure (CPAP) Devices

CPAP machines, Compressor systems, Humidifiers, Masks

Intermittent Positive Pressure Breathing IPPB DEV

Intermittent assist devices

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

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.

Is Fundamental Medical Supply Inc enrolled in Medicare?

Yes. Fundamental Medical Supply Inc is registered in the Medicare PECOS enrollment system.

When is Fundamental Medical Supply Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Medical Supply Company) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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 6 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.