Organization Active NPI

Medequip, Inc

Doing business as Medica

  • Prosthetic/Orthotic Supplier
  • Aliso Viejo, CA
National Provider Identifier
1942394119
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MEDEQUIP, INC
Doing business as
Medica
Practice address
27 Brookline
Aliso Viejo, CA 92656-1461
Phone
(949) 443-4414
Fax
(949) 493-4754
NPI assigned
Oct 3, 2006
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Mr. 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 55640 CA
Customized Equipment (DME) 332BC3200X 55640 CA
Prosthetic/Orthotic Supplier 335E00000X 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
1942394119MedicaidCA

Other names 1

  • Medica Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040041 CA DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Pedorthic Personnel 6507985702 Practice locations: Aliso Viejo, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

32261 Camino Capistrano
Ste 101
San Juan Capistrano, CA 92675
Phone (949) 443-4414

108 S Frontage Rd W
Ste 203A
Vail, CO 81657
Phone (970) 476-7701

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1942394119",
    "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": "949-493-4754"
        },
        {
            "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": "949-493-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEQUIP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "55640",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "55640",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942394119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.