Mobile Picc Nursing Inc

Primary specialty

Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X

Legal business name

MOBILE PICC NURSING INC

Practice address

1214 Heath St
Redlands, CA 92374-4919

Phone

(909) 922-3112

NPI assigned

Aug 15, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Andrian Morris Sitorus, REGISTERED NURSENPI 1679296792

Title

Registered Nurse

Phone

(909) 954-8623

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrian Morris Sitorus, RN

  • Vascular Specialist/Technologist Cardiovascular
  • Redlands, CA
  • NPI 1679296792
  NPD Authorized official
• Jonathan Miguel Flores, RN BSN

  • Infusion Therapy Registered Nurse
  • Redlands, CA
  • NPI 1053034413
  NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1598483620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 HEATH ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744919",
            "telephone_number": "909-922-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 HEATH ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744919",
            "telephone_number": "909-922-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PICC NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-05-11",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "SITORUS",
        "authorized_official_first_name": "ANDRIAN",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "909-954-8623",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Minicucci, NP
• Yenessa D Miranda, MS
• Mission Premier Health
• Nadia Kharas Mistry, ND
• Kristina Marie Mitchell, MFT
• Modern Parenting Solutions Psychological Services (Modern Parenting Solutions)
• Amish Modi
• Bhaumikkumar Modi, PHARM.D.
• Mohammad Hossain MD Inc. (American Primary Care Medical Clinic)
• Adnan Mohsin, MD

• Cardiovascular Specialist/Technologist in Redlands, CA
• Providers in Redlands, CA by specialty
• Cardiovascular Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.