Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sierra Blackston Medical Supply Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1407993926

Sierra Blackston Medical Supply Inc is a Durable Medical Equipment & Medical Supplies in Fresno, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6463 N Blackstone Ave
Fresno, CA 93710-3508
Phone: (559) 432-4936
Fax: (559) 432-6236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 46540 (CA)

Record details

NPI number1407993926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gagik Khalatyan — President · (559) 432-4936
NPI enumeratedJanuary 31, 2007
Last updated in NPPESFebruary 7, 2008
Mailing address6463 N Blackstone Ave, Fresno, CA 93710-3508

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