Organization Active NPI

Redan Medical Inc

  • In Home Supportive Care Agency
  • Fullerton, CA
National Provider Identifier
1235642810
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
304700218 Issued in CA
Legal business name
REDAN MEDICAL INC
Practice address
2736 W Orangethorpe Ave Ste 21
Fullerton, CA 92833-4276
Phone
(310) 985-3870
Fax
(949) 666-3235
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Danial Shahmirzadi
Title
Owner
Phone
(310) 985-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 304700218 CA Primary

Addresses

Primary practice location

2736 W Orangethorpe Ave Ste 21
Fullerton, CA 92833-4276

Mailing address

2736 W Orangethorpe Ave Ste 21
Fullerton, CA 92833-4276
Phone (310) 985-3870

National Provider Directory

National Provider Directory

Locations

2736 W Orangethorpe Ave
Ste 21
Fullerton, CA 92833
Phone (310) 985-3870

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1235642810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 W ORANGETHORPE AVE STE 21",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334276",
            "telephone_number": "310-985-3870",
            "fax_number": "949-666-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 W ORANGETHORPE AVE STE 21",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334276",
            "telephone_number": "310-985-3870",
            "fax_number": "949-666-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDAN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "SHAHMIRZADI",
        "authorized_official_first_name": "DANIAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-985-3870"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "304700218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.