Organization Active NPI

Freedom Mobility Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Rodeo, CA
National Provider Identifier
1447429642
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREEDOM MOBILITY CENTER, LLC
Practice address
586 Parker Ave Ste a
Rodeo, CA 94572-1473
Phone
(510) 799-9920
Fax
(510) 799-9930
NPI assigned
Feb 21, 2008
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Elise Pallotta Wilson
Title
Acting Compliance Officer
Phone
(510) 799-9920

Specialties & licenses 1

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

Addresses

Primary practice location

586 Parker Ave Ste a
Rodeo, CA 94572-1473

Mailing address

586 Parker Ave Ste a
Rodeo, CA 94572-1473
Phone (510) 799-9920

Other identifiers 1

IdentifierTypeStateIssuer
1447429642MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930046991 CA DME Supplier - Medical Supply Company 6901004456 Practice locations: Rodeo, CA

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
Rodeo586 Parker Ave, Rodeo, CA 94572-14735107999920164 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Stan… Does not accept assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory

Locations

586 Parker Ave
Rodeo, CA 94572
Phone (510) 799-9920

586 Parker Ave
Ste A
Rodeo, CA 94572
Phone 5107999920164

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1447429642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 PARKER AVE STE A",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945721473",
            "telephone_number": "510-799-9920",
            "fax_number": "510-799-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 PARKER AVE STE A",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945721473",
            "telephone_number": "510-799-9920",
            "fax_number": "510-799-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MOBILITY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "PALLOTTA WILSON",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "ACTING COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "510-799-9920"
    },
    "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": "1447429642",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rodeo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.