Active NPI
Mobility Professionals, Inc.
- Customized Equipment (DME)
- Lake Forest, CA
National Provider Identifier
1003156274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 3535099
- Legal business name
- MOBILITY PROFESSIONALS, INC.
- Practice address
- 12 Rancho Cir
Lake Forest, CA 92630-8325 - Phone
- (949) 716-3694
- Fax
- (949) 716-1235
- NPI assigned
- Feb 25, 2013
- 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
- Mr. Donald Robert Woods
- Title
- President
- Phone
- (866) 397-3732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 3535099 | CA | Primary |
Addresses
Primary practice location
12 Rancho Cir
Lake Forest, CA 92630-8325
Mailing address
12 Rancho Cir
Lake Forest, CA 92630-8325
Phone (949) 716-3694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140220000404 | CA | DME Supplier - Medical Supply Company | 0446480362 | Practice locations: Lake Forest, CA |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Downey, CA
- NPI 1366441909
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Stratford, NJ
- NPI 1861781254
Member Of
Locations
24 Rancho Cir
Lake Forest, CA 92630
Phone (949) 716-1235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494547200000",
"number": "1003156274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 RANCHO CIR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308325",
"telephone_number": "949-716-3694",
"fax_number": "949-716-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 RANCHO CIR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308325",
"telephone_number": "949-716-3694",
"fax_number": "949-716-1235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY PROFESSIONALS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-25",
"last_updated": "2017-05-12",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "866-397-3732",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "3535099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.