Organization Active NPI

Medbreak Inc

  • Durable Medical Equipment & Medical Supplies
  • Ontario, CA
National Provider Identifier
1689555872
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDBREAK INC
Practice address
4561 S Forsyth Paseo
Ontario, CA 91762-7261
Phone
(909) 808-9958
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Jiawen Liang
Title
Ceo
Phone
(909) 991-0008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Pharmacy 333600000X

Addresses

Primary practice location

4561 S Forsyth Paseo
Ontario, CA 91762-7261

Mailing address

4561 S Forsyth Paseo
Ontario, CA 91762-7261

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1689555872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 S FORSYTH PASEO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 S FORSYTH PASEO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627261",
            "telephone_number": "909-808-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDBREAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "JIAWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-991-0008"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.