NPIMap

Organization Active NPI

Medequip, Inc

  • Durable Medical Equipment & Medical Supplies
  • Clovis, CA
National Provider Identifier
1548778491
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDEQUIP, INC
Practice address
1450 Tollhouse Rd Ste 108
Clovis, CA 93611-0503
Phone
(559) 288-3588
NPI assigned
Jan 12, 2018
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Soren LindNPI 1386043180
Title
President
Phone
(949) 443-4414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1450 Tollhouse Rd Ste 108
Clovis, CA 93611-0503

Mailing address

27 Brookline
Aliso Viejo, CA 92656-1461
Phone (949) 443-4418

Other identifiers 2

IdentifierTypeStateIssuer
1548778491MedicaidCA
98786OtherCAHMDR

National Provider Directory

National Provider Directory
Tax ID family
Medequip Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27 Brookline
Aliso Viejo, CA 92656
Phone (949) 443-4414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1548778491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BROOKLINE",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561461",
            "telephone_number": "949-443-4418",
            "fax_number": "949-487-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 TOLLHOUSE RD STE 108",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110503",
            "telephone_number": "559-288-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEQUIP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "SOREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-443-4414"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548778491",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "98786",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.