Fastserv Mobility Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

101793 Issued in CA

Legal business name

FASTSERV MOBILITY INC

Practice address

10945 San Pablo Ave
El Cerrito, CA 94530-2338

Phone

(510) 236-8101

Fax

(510) 236-8082

NPI assigned

Oct 5, 2005

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Venessa N Dixon

Title

Cfo

Phone

(510) 236-8101

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1063409936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302338",
            "telephone_number": "510-236-8101",
            "fax_number": "510-236-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302338",
            "telephone_number": "510-236-8101",
            "fax_number": "510-236-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTSERV MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "VENESSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-236-8101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101793",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5156830001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02213G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02213F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard A Farrell, DDS
• Sandra Fershtman, M.F.T.
• Fifth Optometric Care of California (West County Optometry)
• Kyle Filley
• Cecilia Fong, DDS
• La'Quesha Monique Fonrose, LCSW

• Durable Medical Equipment & Medical Supplies in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.