Central Valley Mobility

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102-757630 Issued in CA

Legal business name

CENTRAL VALLEY MOBILITY

Doing business as

Central Valley Mobility

Practice address

6084 Josie St
Atwater, CA 95301-9105

Phone

(209) 648-1994

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By 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

Enrique Talamantes

Title

Ceo/Owner

Phone

(209) 648-1994

Specialties & licenses 1

Addresses

Other names 1

• Central Valley Mobility Doing business as

Locations

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1154704914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BUSINESS PARK WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953019483",
            "telephone_number": "209-676-2791",
            "fax_number": "209-812-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 JOSIE ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953019105",
            "telephone_number": "209-648-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "TALAMANTES",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "209-648-1994"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102-757630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Atwater, CA
• Providers in Atwater, 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 29, 2015; 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.