Alite Mobility and Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ALITE MOBILITY AND MEDICAL SUPPLIES

Practice address

4959 Palo Verde St Ste 203a
Montclair, CA 91763-2323

Phone

(909) 284-1800

Fax

(909) 284-1800

NPI assigned

Dec 20, 2022

Last updated

Dec 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andre Jackson

Title

Managing Director

Phone

(909) 509-2329

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1609588730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 203A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632323",
            "telephone_number": "909-284-1800",
            "fax_number": "909-284-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 203A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632323",
            "telephone_number": "909-284-1800",
            "fax_number": "909-284-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALITE MOBILITY AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "909-509-2329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serina Alex
• Cortni T Alexander-Lewis, LMFT
• Erika Camisse Cabanes Diaz Alexander, MS, BCBA
• Valerie Algara
• Azra Ali
• Zahra Alkhamaisi
• Nicole Allen
• Robert Joseph Allen, M.D.
• Rachel Almaraz
• Esmeralda Almeda

• Durable Medical Equipment & Medical Supplies in Montclair, CA
• Providers in Montclair, 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 Dec 20, 2022; 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.