Organization Active NPI

Mozell E Coleman

  • Nursing Care Agency
  • Rialto, CA
National Provider Identifier
1437374097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
EPS015780 Issued in CA
Legal business name
MOZELL E COLEMAN
Practice address
1456 W Victoria St
Rialto, CA 92376-4620
Phone
(909) 717-1279
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mozell Coleman
Title
LVN
Phone
(909) 717-1279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X EPS015780 CA Primary

Addresses

Primary practice location

1456 W Victoria St
Rialto, CA 92376-4620

Mailing address

1456 W Victoria St
Rialto, CA 92376-4620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437374097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 W VICTORIA ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 W VICTORIA ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764620",
            "telephone_number": "909-717-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOZELL E COLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MOZELL",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "909-717-1279"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "EPS015780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.