NPIMap

Organization Active NPI

National Seating & Mobility Inc

  • Durable Medical Equipment & Medical Supplies
  • Hayward, CA
National Provider Identifier
1053384982
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102848 Issued in CA
Legal business name
NATIONAL SEATING & MOBILITY INC
Doing business as
National Seating & Mobility Inc
Practice address
2462 Tridaldi Way
Hayward, CA 94545
Phone
(510) 856-4001
Fax
(510) 856-0462
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Jeffrey Matukewicz
Title
Secretary
Phone
(423) 756-2268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102848 CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 43789 CA

Addresses

Primary practice location

2462 Tridaldi Way
Hayward, CA 94545

Mailing address

5959 Shallowford Rd
Ste 443
Chattanooga, TN 37421-2285
Phone (423) 756-2268

Other identifiers 1

IdentifierTypeStateIssuer
1053384982MedicaidCA

Other names 1

  • National Seating & Mobility Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930014563 CA DME Supplier - Medical Supply Company 8224157094 Practice locations: Hayward, CA

National Provider Directory

National Provider Directory
Tax ID family
Nat'L Seating Mobility182 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2462 Tripaldi Way
Hayward, CA 94545
Phone (510) 856-4001

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1053384982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD",
            "address_2": "STE 443",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212285",
            "telephone_number": "423-756-2268",
            "fax_number": "423-266-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 TRIDALDI WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94545",
            "telephone_number": "510-856-4001",
            "fax_number": "510-856-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SEATING & MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MATUKEWICZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-756-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102848",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43789",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053384982",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Seating & Mobility Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Seating & Mobility Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.