Cascade Trade LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CASCADE TRADE LLC

Doing business as

Bangeran

Practice address

22541 Aspan St Ste D
Lake Forest, CA 92630-6320

Phone

(888) 622-5476

NPI assigned

Jan 7, 2022

Last updated

Dec 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mike Koch

Title

Owner

Phone

(888) 622-5476

Specialties & licenses 1

Addresses

Other names 1

• Bangeran Doing business as

Locations

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1538820824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22541 ASPAN ST STE D",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306320",
            "telephone_number": "888-622-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22541 ASPAN ST STE D",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306320",
            "telephone_number": "888-622-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE TRADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-622-5476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangeran",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bangeran",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Lake Forest, CA
• Providers in Lake Forest, 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 Dec 20, 2024; 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.