Organization Active NPI

Northcoast Mobility

  • Durable Medical Equipment & Medical Supplies
  • San Rafael, CA
National Provider Identifier
1235550377
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHCOAST MOBILITY
Practice address
1281 Andersen Dr Ste F
San Rafael, CA 94901-5335
Phone
(415) 457-1664
Fax
(415) 457-6206
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Mr. Dennis Lloyd Brewer
Title
Owner
Phone
(415) 457-1664

Specialties & licenses 1

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

Addresses

Primary practice location

1281 Andersen Dr Ste F
San Rafael, CA 94901-5335

Mailing address

1281 Andersen Dr Ste F
San Rafael, CA 94901-5335
Phone (415) 457-1664

National Provider Directory

National Provider Directory

Locations

1281 Andersen Dr
Ste F
San Rafael, CA 94901
Phone (415) 457-1664

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1235550377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 ANDERSEN DR STE F",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015335",
            "telephone_number": "415-457-1664",
            "fax_number": "415-457-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 ANDERSEN DR STE F",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015335",
            "telephone_number": "415-457-1664",
            "fax_number": "415-457-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCOAST MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-457-1664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.