Gary Colle Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GARY COLLE INC.

Doing business as

Golden Boy Mobility

Practice address

12300 Stowe Dr Ste a
Poway, CA 92064-8820

Phone

(858) 748-9414

Fax

(858) 748-9432

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Gary Colle

Title

Owner/Ceo

Phone

(858) 748-9414

Specialties & licenses 1

Addresses

Other names 1

• Golden Boy Mobility Doing business as

Locations

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1114247871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 STOWE DR STE A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920648820",
            "telephone_number": "858-748-9414",
            "fax_number": "858-748-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 STOWE DR STE A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920648820",
            "telephone_number": "858-748-9414",
            "fax_number": "858-748-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY COLLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "COLLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "858-748-9414"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Boy Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Gardner, CMT
• Garfield Beach CVS LLC
• Tee Garner
• Heather Garnica
• Aliyah Nycole Garrett
• Lea Garza, MA
• Alexander Gastineau
• Gateway Park Holdings LLC
• Gateway Physical Therapy LLC
• Rachelle D. Gatewood, COTA

• Customized Equipment (DME) in Poway, CA
• Providers in Poway, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.