{"npi":"1255668786","type":"NPI-2","status":"active","name":{"display":"Idamed INC","other":[],"organization_name":"IDAMED INC","authorised_official":"Gary Krantz"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"17660 NEWHOPE ST","city":"FOUNTAIN VALLEY","state":"CA","postal_code":"927084296","country_code":"US","street_2":"SUITE F","phone":"7145564663","fax":"7145564664"},{"purpose":"MAILING","street_1":"17660 NEWHOPE ST","city":"FOUNTAIN VALLEY","state":"CA","postal_code":"927084296","country_code":"US","street_2":"SUITE F","phone":"7145564663","fax":"7145564664"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1255668786","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930041849","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"CA","pac_id":"0749470540"}]},"enumeration_date":"2009-11-04","last_updated":"2014-06-09","_meta":{"source":"NPPES","snapshot_date":"2014-06-09","doc_url":"https://findmynpi.com/api"}}