NPIMap

Organization Active NPI

Mobile Medical & Nursing, Inc.

  • Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1023123940
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2686735 Issued in CA
Legal business name
MOBILE MEDICAL & NURSING, INC.
Practice address
9091 N Military TRL
Suite # 11
Palm Beach Gardens, FL 33410-5959
Phone
(844) 889-0365
Fax
(844) 889-0366
NPI assigned
Aug 20, 2006
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Mr. Dinakar Kotiyan, ND, FNP
Title
Ceo & President
Phone
(844) 889-0365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2686735 CA Primary

Addresses

Primary practice location

9091 N Military TRL
Suite # 11
Palm Beach Gardens, FL 33410-5959

Mailing address

PO Box 31176
Palm Beach Gardens, FL 33420-1176
Phone (844) 889-0365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060213000688 CA Part B Supplier - Clinic/Group Practice 5496712580 Receives reassigned benefits from 2 practitioners
Practice locations: Cupertino, CA; Gilroy, CA; Pico Rivera, CA; Santa Clara, CA

National Provider Directory

National Provider Directory

Locations

121 S Glenoaks Blvd
Ste 3
Burbank, CA 91502
Phone (818) 843-5225

7534 Palm Ave
Highland, CA 92346
Phone (909) 862-0611

47763 Monroe St
Indio, CA 92201
Phone (760) 347-0750

2123 Verdugo Blvd
Montrose, CA 91020
Phone (818) 249-3925

1680 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 886-5291

7912 Topley Ln
Sunland, CA 91040
Phone (818) 352-3158

14122 Hubbard St
Sylmar, CA 91342
Phone (818) 361-0191

9166 Tujunga Canyon Blvd
Tujunga, CA 91042
Phone (818) 352-4426

6700 Sepulveda Blvd
Van Nuys, CA 91411
Phone (310) 923-1518

9091 N Military Trl
Ste 11
West Palm Beach, FL 33410
Phone (561) 625-6860

2323 Jensen St
Enumclaw, WA 98022
Phone (360) 825-2541

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1023123940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31176",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334201176",
            "telephone_number": "844-889-0365",
            "fax_number": "844-889-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 N MILITARY TRL",
            "address_2": "SUITE # 11",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105959",
            "telephone_number": "844-889-0365",
            "fax_number": "844-889-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL & NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "KOTIYAN",
        "authorized_official_first_name": "DINAKAR",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "844-889-0365",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ND, FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "2686735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.