Mobility Plus of California

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOBILITY PLUS OF CALIFORNIA

Practice address

627 Galaxy Way
Modesto, CA 95356-9606

Phone

(209) 552-2244

Fax

(209) 552-2288

NPI assigned

Jul 28, 2006

Last updated

Nov 27, 2018By 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

Mrs. Lisa M Petero

Title

General Manager

Phone

(209) 552-2244

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1609880251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 GALAXY WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569606",
            "telephone_number": "209-552-2244",
            "fax_number": "209-552-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 GALAXY WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569606",
            "telephone_number": "209-552-2244",
            "fax_number": "209-552-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PLUS OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "PETERO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "209-552-2244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02077F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naoki Miyakawa, PA-C, MPAS
• Kimberly Anne Mize
• Carmen Lou Mizera
• Kazuko Kim Mizushima
• ML Wellness & Family Counseling, Inc
• Navim Mobin, MD
• Modesto Acupuncture
• Modesto Adult Day Program Partners (Modesto Adult Day Program)
• Modesto Advanced Diagnostic Imaging Medical Center (Modesto Advanced Diag Imaging Medical Center)
• Modesto Anesthesia Medical Group

• Durable Medical Equipment & Medical Supplies in Modesto, CA
• Providers in Modesto, 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 Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.