Superior Mobility, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

77465 Issued in CA

Legal business name

SUPERIOR MOBILITY, INC.

Practice address

1950 E 220TH St
Suite 208
Carson, CA 90810-1649

Phone

(310) 218-2040

Fax

(866) 837-2297

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Douglas Zaer

Title

Ceo

Phone

(310) 755-6480

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Superior Mobility, Inc.

  • Customized Equipment (DME)
  • Oxnard, CA
  • NPI 1972586071

  3577680826

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Superior Mobility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Superior Mobility, Inc.

  • Customized Equipment (DME)
  • Oxnard, CA
  • NPI 1972586071
  NPD tax ID

Locations

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1255313698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E 220TH ST",
            "address_2": "SUITE 208",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "908101649",
            "telephone_number": "310-218-2040",
            "fax_number": "310-218-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E 220TH ST",
            "address_2": "SUITE 208",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "908101649",
            "telephone_number": "310-218-2040",
            "fax_number": "866-837-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-06-13",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "ZAER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-755-6480"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "77465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ78492Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Supplemental Health Care
• Supplemental Health Care
• Supplemental Health Care
• Susan E Seideman MD PC
• Maria Elga Sutjongdro, P.T.

• Customized Equipment (DME) in Carson, CA
• Providers in Carson, 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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.