Organization Active NPI

Adjusting Mobility Ca LLC

  • Oxygen Equipment & Supplies (DME)
  • San Marcos, CA
National Provider Identifier
1386319770
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ADJUSTING MOBILITY CA LLC
Practice address
215 S Pacific St Ste 108
San Marcos, CA 92078-2459
Phone
(833) 795-2777
NPI assigned
Aug 9, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Mr. Tracy Dwayne Evans
Title
Cfo
Phone
(833) 795-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

215 S Pacific St Ste 108
San Marcos, CA 92078-2459

Mailing address

215 S Pacific St Ste 108
San Marcos, CA 92078-2459
Phone (833) 795-2777

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.adjustingmobility.html Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

215 S Pacific St
Ste 108
San Marcos, CA 92078
Phone (833) 795-2777

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1386319770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S PACIFIC ST STE 108",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782459",
            "telephone_number": "833-795-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S PACIFIC ST STE 108",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782459",
            "telephone_number": "833-795-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUSTING MOBILITY CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "833-795-2777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.adjustingmobility.html",
            "affiliation": "N",
            "endpointDescription": "secured html",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "215 S Pacific St Ste 108",
            "city": "San Marcos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920782459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.