{"npi":"1295053858","type":"NPI-2","status":"active","name":{"display":"Avasco Medical Supply, INC","other":[],"organization_name":"AVASCO MEDICAL SUPPLY, INC","authorised_official":"Randy Ababseh"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332BX2000X","description":"Oxygen Equipment & Supplies (DME)","primary":false,"state":"CA","license":"51170"},{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":false,"state":"CA","license":"0002402171-0001-2"},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"CA","license":"0002402171-0001-2"}]},"addresses":[{"purpose":"LOCATION","street_1":"4268 E LOS ANGELES AVE","city":"SIMI VALLEY","state":"CA","postal_code":"930633366","country_code":"US","street_2":"SUITE #102","phone":"8055225333","fax":"8055226333"},{"purpose":"MAILING","street_1":"4268 E LOS ANGELES AVE","city":"SIMI VALLEY","state":"CA","postal_code":"930633366","country_code":"US","street_2":"SUITE #102","phone":"8055225333","fax":"8055226333"}],"license":{"state":"CA","number":"0002402171-0001-2"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930043524","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"CA","pac_id":"6608076476"}]},"enumeration_date":"2010-05-06","last_updated":"2015-11-10","_meta":{"source":"NPPES","snapshot_date":"2015-11-10","doc_url":"https://findmynpi.com/api"}}