Organization Active NPI

Homedical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tustin, CA
National Provider Identifier
1215947346
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100297 Issued in CA
Legal business name
HOMEDICAL INC.
Practice address
15451 Red Hill Ave Ste C
Tustin, CA 92780-7312
Phone
(714) 438-2230
Fax
(714) 438-2233
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Antoni M Operacz, RCP
Title
Coo
Phone
(949) 678-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100297 CA Primary

Addresses

Primary practice location

15451 Red Hill Ave Ste C
Tustin, CA 92780-7312

Mailing address

15451 Red Hill Ave Ste C
Tustin, CA 92780-7312
Phone (714) 438-2230

Other identifiers 1

IdentifierTypeStateIssuer
DME02894FMedicaidCA

National Provider Directory

National Provider Directory

Locations

3613 W MacArthur Blvd
Ste 607
Santa Ana, CA 92704
Phone (714) 389-2022

3506 W Lake Center Dr
Ste B
Santa Ana, CA 92704
Phone (714) 438-2230

15451 Red Hill Ave
Ste C
Tustin, CA 92780
Phone (714) 438-2230

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1215947346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15451 RED HILL AVE STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807312",
            "telephone_number": "714-438-2230",
            "fax_number": "714-438-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15451 RED HILL AVE STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807312",
            "telephone_number": "714-438-2230",
            "fax_number": "714-438-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "OPERACZ",
        "authorized_official_first_name": "ANTONI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-678-0109",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02894F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.