Organization Active NPI

Supportive Mobile Assistance LLC

  • Non-emergency Medical Transport (VAN)
  • San Diego, CA
National Provider Identifier
1518813732
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUPPORTIVE MOBILE ASSISTANCE LLC
Practice address
4234 Mississippi St Apt 207
San Diego, CA 92104-4179
Phone
(619) 693-2974
NPI assigned
Mar 9, 2026
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Nouradin Sheikh Mohamed
Title
Owner
Phone
(619) 693-2974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

4234 Mississippi St Apt 207
San Diego, CA 92104-4179

Mailing address

4234 Mississippi St Apt 207
San Diego, CA 92104-4179
Phone (619) 693-2974

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1518813732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 MISSISSIPPI ST APT 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044179",
            "telephone_number": "619-693-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 MISSISSIPPI ST APT 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044179",
            "telephone_number": "619-693-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE MOBILE ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SHEIKH MOHAMED",
        "authorized_official_first_name": "NOURADIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-693-2974"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.