Grand Wheelchair & Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME03310F Issued in CA

Legal business name

GRAND WHEELCHAIR & MEDICAL SUPPLY INC

Doing business as

ALL WHEELCHAIR & MOBILITY CENTER

Practice address

41917 Albrae St
Fremont, CA 94538-3121

Phone

(510) 353-1999

Fax

(510) 353-1991

NPI assigned

Feb 24, 2007

Organization subpart

No

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

Authorized official

Name

Rashid Shalizi

Title

Owner

Phone

(510) 353-1999

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALL WHEELCHAIR & MOBILITY CENTER Doing business as

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": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1619003811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41917 ALBRAE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383121",
            "telephone_number": "510-353-1999",
            "fax_number": "510-353-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41917 ALBRAE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383121",
            "telephone_number": "510-353-1999",
            "fax_number": "510-353-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND WHEELCHAIR & MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "SHALIZI",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-353-1999"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "DME03310F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03310F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL WHEELCHAIR & MOBILITY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lina S. Gourova, MD
• Natarajan Gowda, PH.D., LCSW
• Jacklin S. Grammer, MD
• Victor Granado
• Grancare LLC
• Breanne M Grasso, OTR/L
• Kyle Grattidge
• Chloe Wanda Greely
• Brandon Green, PPSC, CWA
• David Israel Green, M.D

• Durable Medical Equipment & Medical Supplies in Fremont, CA
• Providers in Fremont, 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 May 23, 2012; 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.