Organization Active NPI

Goldcare Medical Supply

  • Nursing Facility Supplies (DME)
  • Irvine, CA
National Provider Identifier
1780338491
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
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

Updated by the provider on Aug 8, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.