Active NPI
Mob Job
- Family Medicine Physician
- Mobile, AL
National Provider Identifier
1679238448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOB JOB
- Practice address
- 5901 Airport Blvd Ste 203
Mobile, AL 36608-3156 - Phone
- (251) 342-0505
- Fax
- (251) 342-0360
- NPI assigned
- Nov 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Bernice Kalmbacher, MD
- Title
- Owner
- Phone
- (415) 847-3864
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
5901 Airport Blvd Ste 203
Mobile, AL 36608-3156
Mailing address
5901 Airport Blvd Ste 203
Mobile, AL 36608-3156
Phone (251) 342-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053355743 | Other | FAMIILY MEDICINE |
Other names 1
- Regenerative Medicine Center
National Provider Directory
National Provider DirectoryLocations
5901 Airport Blvd
Ste 203
Mobile, AL 36608
Phone (251) 342-0505
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fairhope, AL
- NPI 1053355743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636070400000",
"number": "1679238448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 AIRPORT BLVD STE 203",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083156",
"telephone_number": "251-342-0505",
"fax_number": "251-342-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 AIRPORT BLVD STE 203",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083156",
"telephone_number": "251-342-0505",
"fax_number": "251-342-0360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOB JOB",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A",
"authorized_official_last_name": "KALMBACHER",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "BERNICE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-847-3864",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMIILY MEDICINE",
"identifier": "1053355743",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regenerative Medicine Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.