Pacific Mobility Center, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100897 Issued in CA

Legal business name

PACIFIC MOBILITY CENTER, INC

Practice address

1355 Grand Ave
Suite 102
San Marcos, CA 92078-2452

Phone

(760) 471-8884

Fax

(760) 471-4791

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Mary Ann Conner

Title

Vice President

Phone

(760) 471-8884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1538123237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 GRAND AVE",
            "address_2": "SUITE 102",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782452",
            "telephone_number": "760-471-8884",
            "fax_number": "760-471-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 GRAND AVE",
            "address_2": "SUITE 102",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782452",
            "telephone_number": "760-471-8884",
            "fax_number": "760-471-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MOBILITY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "760-471-8884"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00895F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Ortiz II
• Nima Osgo, PHARM D
• Diana Osman
• Kelsi Mikayla Otto
• Pacific Coastal Medical Group Professional Corporation
• Pacifica L 24 LLC (Meridian At Lake San Marcos)
• Lindsay Pack
• Angela Padilla
• Mariana Sarai Padron
• Pain and Palliative Associates of Ca

• Durable Medical Equipment & Medical Supplies in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.