NPIMap

Organization Active NPI

Mobile Care Medical Group, Inc

  • Primary Care Nurse Practitioner
  • Union City, CA
National Provider Identifier
1629642921
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MOBILE CARE MEDICAL GROUP, INC
Practice address
3850 Smith St Unit 3
Union City, CA 94587-2614
Phone
(213) 261-4978
Fax
(818) 471-4287
NPI assigned
May 19, 2021
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Marlon C SalamatNPI 1316512296
Title
Cfo
Phone
(626) 497-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

3850 Smith St Unit 3
Union City, CA 94587-2614

Mailing address

1200 E Route 66 Ste 102
Glendora, CA 91740-6360
Phone (213) 567-4520

Other practice location 1

1200 E Route 66 Ste 102
Glendora, CA 91740-6360
Phone (213) 567-4520

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.drchrono.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220207000424 CA Part B Supplier - Clinic/Group Practice 7315330859 Receives reassigned benefits from 15 practitioners
Practice locations: Glendora, CA; Union City, CA

National Provider Directory

National Provider Directory

Locations

3300 N San Fernando Blvd
Ste 201D
Burbank, CA 91504

3850 Smith St
Unit 2
Union City, CA 94587

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1629642921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E ROUTE 66 STE 102",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406360",
            "telephone_number": "213-567-4520",
            "fax_number": "213-567-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SMITH ST UNIT 3",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945872614",
            "telephone_number": "213-261-4978",
            "fax_number": "818-471-4287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Route 66 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917406360",
            "country_code": "US",
            "telephone_number": "213-567-4520",
            "fax_number": "213-567-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "SALAMAT",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-497-6500"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.drchrono.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "3850 Smith St Unit 3",
            "city": "Union City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945872614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.