Organization Active NPI

Xtended Arms

  • Home Health Agency
  • Fairfield, CA
National Provider Identifier
1548080922
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 11, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.