Active NPI
Xtended Arms
- Home Health Agency
- Fairfield, CA
National Provider Identifier
1548080922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- XTENDED ARMS
- Practice address
- 1111 Webster St
Fairfield, CA 94533-4841 - Phone
- (510) 362-9116
- NPI assigned
- Oct 11, 2024
- 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
- Kimberlee Espadron
- Title
- Ceo
- Phone
- (510) 362-9116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1111 Webster St
Fairfield, CA 94533-4841
Mailing address
PO Box 1328
Suisun City, CA 94585-4328
Phone (510) 362-9116
National Provider Directory
National Provider DirectoryLocations
1111 Webster St
Fairfield, CA 94533
Phone (510) 362-9116
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- San Ramon, CA
- NPI 1679920151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1548080922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1328",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945854328",
"telephone_number": "510-362-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 WEBSTER ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945334841",
"telephone_number": "510-362-9116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XTENDED ARMS",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "ESPADRON",
"authorized_official_first_name": "KIMBERLEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-362-9116"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.