Active NPI
Redan Medical Inc
- In Home Supportive Care Agency
- Fullerton, CA
National Provider Identifier
1235642810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 304700218
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.