Brandi Paris

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

97188 Issued in CA

Legal business name

BRANDI PARIS

Practice address

3176 Pullman St Ste 104
Costa Mesa, CA 92626-3317

Phone

(714) 435-1904

Fax

(714) 435-1964

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Julie Hepner

Title

Office Manager

Phone

(714) 435-1904

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205017001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 PULLMAN ST STE 104",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263317",
            "telephone_number": "714-435-1904",
            "fax_number": "714-435-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 PULLMAN ST STE 104",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263317",
            "telephone_number": "714-435-1904",
            "fax_number": "714-435-1964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20351 Irvine Ave",
            "address_2": "Suite C6",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926600236",
            "country_code": "US",
            "telephone_number": "714-435-1904",
            "fax_number": "714-435-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANDI PARIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEPNER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-435-1904"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "97188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02371F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Costa Mesa, CA
• Providers in Costa Mesa, 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 Jul 21, 2022; 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.