Proforma Solutions Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROFORMA SOLUTIONS CORP

Practice address

10231 Slater Ave Ste 103
Fountain Valley, CA 92708-4745

Phone

(714) 887-0123

Fax

(702) 433-9926

NPI assigned

Oct 9, 2006

Last updated

Aug 22, 2020By 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

Marie Villanueva

Title

Administrator

Phone

(702) 433-9926

Specialties & licenses 1

Addresses

Locations

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.

• Kevin N Winn

  • Other Technician
  • Fountain Valley, CA
  • NPI 1922061563
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679660815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 SLATER AVE STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084745",
            "telephone_number": "714-887-0123",
            "fax_number": "702-433-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 SLATER AVE STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084745",
            "telephone_number": "714-887-0123",
            "fax_number": "702-433-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFORMA SOLUTIONS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-433-9926"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fountain Valley, CA
• Providers in Fountain Valley, 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 Aug 22, 2020; 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.