Active NPI
Mountain View Services, Inc.
- Durable Medical Equipment & Medical Supplies
- Redlands, CA
National Provider Identifier
1275717043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MOUNTAIN VIEW SERVICES, INC.
- Practice address
- 625 Amigos Drive
Redlands, CA 92373 - Phone
- (909) 335-8121
- Fax
- (909) 335-8127
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Lee Goodman
- Title
- President/Ceo
- Phone
- (909) 335-8121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
625 Amigos Drive
Redlands, CA 92373
Mailing address
625 Amigos Dr
Redlands, CA 92373-6264
Phone (909) 335-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME01323F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
625 Amigos Dr
Redlands, CA 92373
Phone (909) 335-8121
170 S Arrowhead Ave
San Bernardino, CA 92408
Phone (909) 335-8121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629331200000",
"number": "1275717043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 AMIGOS DR",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736264",
"telephone_number": "909-335-8121",
"fax_number": "909-335-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 AMIGOS DRIVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-335-8121",
"fax_number": "909-335-8127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "909-335-8121",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME01323F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.