MD Medical and Mobility Products

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

DME0223G Issued in CA

Legal business name

MD MEDICAL AND MOBILITY PRODUCTS

Practice address

4749 Folsom Blvd
Sacramento, CA 95819-4425

Phone

(916) 453-1324

Fax

(916) 453-0952

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles J. Dowdy

Title

V.P.

Phone

(916) 453-1324

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1245385210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160325",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958160325",
            "telephone_number": "916-453-1324",
            "fax_number": "916-453-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194425",
            "telephone_number": "916-453-1324",
            "fax_number": "916-453-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL AND MOBILITY PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "DOWDY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "916-453-1324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "DME0223G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02203G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Sacramento, CA
• Providers in Sacramento, 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 Jan 4, 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.