Active NPI
Goldcare Medical Supply
- Nursing Facility Supplies (DME)
- Irvine, CA
National Provider Identifier
1780338491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility Supplies (DME)
- Legal business name
- GOLDCARE MEDICAL SUPPLY
- Practice address
- 1 Peters Canyon Rd Ste 160
Irvine, CA 92606-1748 - Phone
- (949) 547-5537
- NPI assigned
- Feb 10, 2022
- 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
- Azam Golchin Moghaddam
- Title
- Manager
- Phone
- (949) 547-5537
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | Primary |
Addresses
Primary practice location
1 Peters Canyon Rd Ste 160
Irvine, CA 92606-1748
Mailing address
1 Peters Canyon Rd Ste 160
Irvine, CA 92606-1748
Phone (949) 547-5537
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691452800000",
"number": "1780338491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PETERS CANYON RD STE 160",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061748",
"telephone_number": "949-547-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PETERS CANYON RD STE 160",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061748",
"telephone_number": "949-547-5537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDCARE MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-10",
"last_updated": "2023-08-08",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "GOLCHIN MOGHADDAM",
"authorized_official_first_name": "AZAM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "949-547-5537"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.