Mobile Senior Activities

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

MOBILE SENIOR ACTIVITIES

Practice address

1401 21St St Ste R
Sacramento, CA 95811-5226

Phone

(951) 443-9092

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Shutita L Deason

Title

Founder/Ceo

Phone

(586) 690-1237

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1679379044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42211 STONEWOOD RD APT 97",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 21ST ST STE R",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "951-443-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE SENIOR ACTIVITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "DEASON",
        "authorized_official_first_name": "SHUTITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "586-690-1237",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lihong Mo, M.D.
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• Muhammad Moazzam
• Mobile Care Transport Inc
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• Mobixhealth
• Cynthia Mock
• Elbert L Mock III, PHARMD
• Milad Modabber, MD, FRCSC, MS
• Sidney Joseph Modiste, M.D.

• Point of Service in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.