Fred Fortun

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

23362 Peralta Dr Ste 2
Laguna Hills, CA 92653-1711

Phone

(949) 433-5115

Fax

(949) 713-6616

NPI assigned

Nov 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southland Ortho Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • Laguna Hills, CA
  • NPI 1669067963
  NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1194328187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PARKWAY",
            "address_2": "SUITE D-4 #230",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-433-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23362 PERALTA DR STE 2",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531711",
            "telephone_number": "949-433-5115",
            "fax_number": "949-713-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUN",
        "first_name": "FRED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Fojas, DPT
• Bryan Jun Fong, M.D.
• Foot and Ankle Institute of the West
• Mary Jane Ford, LMFT
• Karen E Forhane, FNP-C, ACNPC-AG
• Mark Peters Foster, M.D.
• Fountain Valley Regional Sleep Center LLC
• Amy Fox, MFTI
• Delyn Monica Fraley
• Leilani Tehani Keahi Lodevic Fraley, RN

• Durable Medical Equipment & Medical Supplies in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.