Organization Active NPI

Perforce Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Irvine, CA
National Provider Identifier
1144948209
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERFORCE MEDICAL SUPPLIES, INC.
Practice address
2062 Business Center Dr Ste 125
Irvine, CA 92612-1109
Phone
(949) 345-0174
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kostadin Bagrenski
Title
Ceo
Phone
(949) 345-0174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2062 Business Center Dr Ste 125
Irvine, CA 92612-1109

Mailing address

2062 Business Center Dr Ste 125
Irvine, CA 92612-1109
Phone (949) 345-0174

National Provider Directory

National Provider Directory

Locations

2062 Business Center Dr
Ste 125
Irvine, CA 92612
Phone (949) 345-0174

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1144948209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 BUSINESS CENTER DR STE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121109",
            "telephone_number": "949-345-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 BUSINESS CENTER DR STE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121109",
            "telephone_number": "949-345-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORCE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "BAGRENSKI",
        "authorized_official_first_name": "KOSTADIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-345-0174"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.