Southern California Mobility Dynamics Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUTHERN CALIFORNIA MOBILITY DYNAMICS INC

Practice address

16321 Gothard St
Suite B
Huntington Beach, CA 92647-3645

Phone

(714) 847-7300

Fax

(714) 847-7338

NPI assigned

Jun 22, 2010

Last updated

Mar 24, 2011By 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

Jaycie Marich, ATPNPI 1316260961

Title

Owner

Phone

(714) 847-7300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jaycie Marich, ATP

  • Customized Equipment (DME)
  • Huntington Beach, CA
  • NPI 1316260961
  Authorized official Same address or phone

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1639490881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16321 GOTHARD ST",
            "address_2": "SUITE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473645",
            "telephone_number": "714-847-7300",
            "fax_number": "714-847-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16321 GOTHARD ST",
            "address_2": "SUITE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473645",
            "telephone_number": "714-847-7300",
            "fax_number": "714-847-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA MOBILITY DYNAMICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "MARICH",
        "authorized_official_first_name": "JAYCIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-847-7300",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Behavioral Health (Dolphin House, LLC)
• South Coast Behavioral Health (Gemini House, LLC)
• South Coast DME
• South Coast Medical Supply
• Southern California Mobility
• Southern California Mobility Inc
• Southside Physical Therapy and Sports Center
• Carrin Francis Spalding, MA, OTR/L
• Alita Marie Spencer
• Robert Sperring, LMFT

• Customized Equipment (DME) in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.