NPIMap

Organization Active NPI

Mobile Phlebotomist Services

  • Technician/Technologist
  • San Jacinto, CA
National Provider Identifier
1043048523
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Legal business name
MOBILE PHLEBOTOMIST SERVICES
Practice address
962 Overton Dr
San Jacinto, CA 92582-4250
Phone
(951) 973-6030
Fax
(951) 654-8600
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Diana Nevarez, PHLEBOTOMISTNPI 1033967278
Title
Ceo
Phone
(951) 973-6030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156F00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

962 Overton Dr
San Jacinto, CA 92582-4250

Mailing address

962 Overton Dr
San Jacinto, CA 92582-4250
Phone (951) 973-6030

Other names 1

  • Mobile Phlebotomist Services Former legal business name

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1043048523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 OVERTON DR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925824250",
            "telephone_number": "951-973-6030",
            "fax_number": "951-654-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 OVERTON DR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925824250",
            "telephone_number": "951-973-6030",
            "fax_number": "951-654-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHLEBOTOMIST SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "NEVAREZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-973-6030",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Phlebotomist Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.