Organization Active NPI

Mobility Solutions Inc

  • Durable Medical Equipment & Medical Supplies
  • Colton, CA
National Provider Identifier
1386675239
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101708 Issued in CA
Legal business name
MOBILITY SOLUTIONS INC
Practice address
1001 E Cooley Dr
Suite 104
Colton, CA 92324-3941
Phone
(909) 824-2185
Fax
(909) 824-0958
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Richard J Frelke
Title
Corporate Secretary
Phone
(858) 278-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101708 CA Primary

Addresses

Primary practice location

1001 E Cooley Dr
Suite 104
Colton, CA 92324-3941

Mailing address

1001 E Cooley Dr
Suite 104
Colton, CA 92324-3941
Phone (909) 824-2185

Other identifiers 1

IdentifierTypeStateIssuer
DME3111FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930048645 CA DME Supplier - Medical Supply Company 1951420801 Practice locations: Colton, CA

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Mobility Solutions Inc1001 E Cooley Dr, Colton, CA 92324-3941(858) 278-0591 Medical Supply Company Other Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Mobility Solutions 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.

Locations

1001 E Cooley Dr
Ste 104
Colton, CA 92324
Phone (858) 278-0591

7895 Convoy Ct
Ste 11
San Diego, CA 92111
Phone (858) 278-0591

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1386675239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E COOLEY DR",
            "address_2": "SUITE 104",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243941",
            "telephone_number": "909-824-2185",
            "fax_number": "909-824-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E COOLEY DR",
            "address_2": "SUITE 104",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243941",
            "telephone_number": "909-824-2185",
            "fax_number": "909-824-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "FRELKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "858-278-0591"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME3111F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.