Active NPI
Mobility Solutions Inc
- Durable Medical Equipment & Medical Supplies
- Colton, CA
National Provider Identifier
1386675239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 101708
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME3111F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1861423816
1951420801
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mobility Solutions Inc | Medical Supply Company Other | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Mobility Solutions Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1861423816
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.