Mobile Covid T LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MOBILE COVID T LLC

Doing business as

Mobile Covid T LLC

Practice address

1435 W 105TH St Apt 12
Los Angeles, CA 90047-4572

Phone

(909) 766-5921

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 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

Teran Williams

Title

Medical Nurse Assistant

Phone

(909) 766-5921

Specialties & licenses 4

Addresses

Other names 1

• MOBILE COVID T LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1629729157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 105TH ST APT 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474572",
            "telephone_number": "909-766-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 105TH ST APT 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474572",
            "telephone_number": "909-766-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE COVID T LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERAN",
        "authorized_official_title_or_position": "MEDICAL NURSE ASSISTANT",
        "authorized_official_telephone_number": "909-766-5921"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mobilecovidt@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1435 W 105th St Apt 12",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900474572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MOBILE COVID T LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxana Moayer, MD
• James Najme Mobaser, DDS
• Anthony Amir Mobasser, D.M.D
• Sarvenaz Saadat Mobasser, M.D.
• Sherry Sharareh Mobasseri, M.S.
• Mobile Crisis Unit Professional Corporation
• Mobile Executive Healthcare Cosmetic and Rejuvenation Medical
• Mobile Express Ultrasound Imaging, Inc
• Mobile Home Health Palliative & Hospice Medical Group
• Mobile Home Health Palliative & Hospice Medical Group

• Public Health or Welfare Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.