Organization Active NPI

Mountain View Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Redlands, CA
National Provider Identifier
1275717043
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 19, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME01323FMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.