Organization Active NPI

Medequip, Inc

  • Prosthetic/Orthotic Supplier
  • Aliso Viejo, CA
National Provider Identifier
1891105961
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
55640 Issued in CA
Legal business name
MEDEQUIP, INC
Practice address
27 Brookline
Aliso Viejo, CA 92656-1461
Phone
(949) 443-4414
Fax
(949) 487-4768
NPI assigned
Apr 29, 2014
Last updated
Apr 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 55640 CA Primary

Addresses

Primary practice location

27 Brookline
Aliso Viejo, CA 92656-1461

Mailing address

27 Brookline
Aliso Viejo, CA 92656-1461
Phone (949) 443-4414

Other identifiers 1

IdentifierTypeStateIssuer
55640OtherCACALIFORNIA HMDR

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.

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": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1891105961",
    "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": "949-443-4414",
            "fax_number": "949-487-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BROOKLINE",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561461",
            "telephone_number": "949-443-4414",
            "fax_number": "949-487-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEQUIP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "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": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "55640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA HMDR",
            "identifier": "55640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.