Organization Active NPI

Mobilephlebotomytech

  • Home Health Agency
  • Beaumont, CA
National Provider Identifier
1255154795
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOBILEPHLEBOTOMYTECH
Practice address
1218 Tumbleweed CT
Beaumont, CA 92223-8590
Phone
(951) 988-7862
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Janelle Ausina
Title
Ceo/ Phlebotomist
Phone
(951) 988-7862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1218 Tumbleweed CT
Beaumont, CA 92223-8590

Mailing address

1218 Tumbleweed CT
Beaumont, CA 92223-8590
Phone (951) 988-7862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1255154795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 TUMBLEWEED CT",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238590",
            "telephone_number": "951-988-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 TUMBLEWEED CT",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238590",
            "telephone_number": "951-988-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEPHLEBOTOMYTECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "AUSINA",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "CEO/ PHLEBOTOMIST",
        "authorized_official_telephone_number": "951-988-7862"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.