Lake Avenue Medical Supply Inc.
NPI 1962703454 · Durable Medical Equipment & Medical Supplies · Pasadena, CA
Lake Avenue Medical Supply Inc. is a Durable Medical Equipment & Medical Supplies organization in Pasadena, CA (NPI 1962703454).
Provider details
- NPI number
- 1962703454
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Ronen Sarafian Malek, President(626) 405-0440
- License
- 53974 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2010-11-15
- Last updated
- 2010-11-15
Frequently asked questions
- What is Lake Avenue Medical Supply Inc.'s NPI number?
- Lake Avenue Medical Supply Inc.'s National Provider Identifier (NPI) is 1962703454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Avenue Medical Supply Inc.?
- Lake Avenue Medical Supply Inc. is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Lake Avenue Medical Supply Inc. located?
- Lake Avenue Medical Supply Inc.'s practice location on file with NPPES is 467 N Lake Ave, Pasadena, CA 91101-1215.
- What is Lake Avenue Medical Supply Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Avenue Medical Supply Inc. is (626) 405-0440.
- Who is the authorized official for Lake Avenue Medical Supply Inc.?
- The authorized official listed on Lake Avenue Medical Supply Inc.'s NPPES record is Ronen Sarafian Malek, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Avenue Medical Supply Inc.'s NPI active?
- Yes — Lake Avenue Medical Supply Inc.'s NPI (1962703454) is active in the NPPES registry as of the last update on 2010-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.