Queen of Angels Medical Supply Inc
NPI 1417424797 · Durable Medical Equipment & Medical Supplies · North Hollywood, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Queen of Angels Medical Supply Inc is a Durable Medical Equipment & Medical Supplies organization in North Hollywood, CA (NPI 1417424797).
Provider details
- NPI number
- 1417424797
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Khrist Kakosimidi, Ceo(818) 760-2156
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2023-12-29
- Certified
- 2023-12-29
Frequently asked questions
- What is Queen of Angels Medical Supply Inc's NPI number?
- Queen of Angels Medical Supply Inc's National Provider Identifier (NPI) is 1417424797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Queen of Angels Medical Supply Inc?
- Queen of Angels Medical Supply Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Queen of Angels Medical Supply Inc located?
- Queen of Angels Medical Supply Inc's practice location on file with NPPES is 12154 Hamlin St, North Hollywood, CA 91606-1409.
- What is Queen of Angels Medical Supply Inc's phone number?
- The practice phone number listed in the NPPES registry for Queen of Angels Medical Supply Inc is (818) 760-2156.
- Does Queen of Angels Medical Supply Inc accept Medicare?
- Queen of Angels Medical Supply Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Queen of Angels Medical Supply Inc?
- The authorized official listed on Queen of Angels Medical Supply Inc's NPPES record is Khrist Kakosimidi, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Queen of Angels Medical Supply Inc's NPI active?
- Yes — Queen of Angels Medical Supply Inc's NPI (1417424797) is active in the NPPES registry as of the last update on 2023-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.